Second Chance Behavioral Health Center LLC
Substance Abuse Rehabilitation Facility in Salisbury, MD. Organization (NPI-2).
NPI number1043075583
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1043075583
- Entity type
- Organization (NPI-2)
- Legal business name
- Second Chance Behavioral Health Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
224 Phillip Morris Dr Unit 300-302Salisbury, MD 21804-1964
Phone 410-504-9048
Mailing address
224 Phillip Morris Dr Unit 300-302Salisbury, MD 21804-1964
Phone 410-504-9048
Authorized official
Towanda Taylor
Ceo
4105049048
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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