| Second Chance Suport Services | |
|
741 Irwin St Apt 2 Anchorage AK 99508-1252 | |
| (907) 334-1029 | |
| Not Available |
| Full Name | Second Chance Suport Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 741 Irwin St Apt 2, Anchorage, Alaska |
| Authorized Official Name and Position | Molua Smith Becke (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9073341029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Suport Services 741 Irwin St Apt 2 Anchorage AK 99508-1252 Ph: (907) 334-1029 | Second Chance Suport Services 741 Irwin St Apt 2 Anchorage AK 99508-1252 Ph: (907) 334-1029 |
| NPI Number | 1619440898 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619440898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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