| Second Chance Transitional Housing, Llc | |
|
1111 Gorrell St Greensboro NC 27406-1904 | |
| (336) 291-8333 | |
| (336) 233-2234 |
| Full Name | Second Chance Transitional Housing, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 Gorrell St, Greensboro, North Carolina |
| Authorized Official Name and Position | Shantina Hinton (DIRECTOR) |
| Authorized Official Contact | 3365470261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Transitional Housing, Llc 2774 Wayne White Rd Pleasant Garden NC 27313-8157 Ph: (336) 547-0261 | Second Chance Transitional Housing, Llc 1111 Gorrell St Greensboro NC 27406-1904 Ph: (336) 291-8333 |
| NPI Number | 1801606512 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801606512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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