| Second Chances Comprehensive Services | |
|
1919 Commerce Dr Suite 420 Hampton VA 23666-4269 | |
| (757) 262-2002 | |
| (757) 262-2003 |
| Full Name | Second Chances Comprehensive Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1919 Commerce Dr, Hampton, Virginia |
| Authorized Official Name and Position | Damion Mason (CEO) |
| Authorized Official Contact | 8047331180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chances Comprehensive Services 1919 Commerce Dr Suite 420 Hampton VA 23666-4269 Ph: (757) 262-2002 | Second Chances Comprehensive Services 1919 Commerce Dr Suite 420 Hampton VA 23666-4269 Ph: (757) 262-2002 |
| NPI Number | 1245530500 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 04/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245530500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1389 (Virginia) | Primary |
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