| Second Chance Tri-cities Center | |
|
6330 Thornton Ave Newark CA 94560-3734 | |
| (510) 792-4357 | |
| (510) 745-1693 |
| Full Name | Second Chance Tri-cities Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6330 Thornton Ave, Newark, California |
| Authorized Official Name and Position | Mark R Mcconville (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5107924357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Tri-cities Center Po Box 643 Newark CA 94560-0643 Ph: (510) 792-4357 | Second Chance Tri-cities Center 6330 Thornton Ave Newark CA 94560-3734 Ph: (510) 792-4357 |
| NPI Number | 1336341098 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336341098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0179 (California) | Primary |
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