Organization · NPI-2

A New Second Chance LLC

Peer Specialist · Charlotte, NC

NPI number1225857212
StatusActive
Last updated in NPPESOct 7, 2024

Details

NPI
1225857212
Entity type
Organization (NPI-2)
Legal business name
A New Second Chance LLC
Organization subpart
No
Enumeration date
Oct 7, 2024
Certification date
Sep 19, 2024
Last updated
Oct 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

227 W 4th St Ste 107
Charlotte, NC 28202-1545

Phone 704-309-1969

Mailing address

227 W 4th St Ste 107
Charlotte, NC 28202-1545

Phone 704-309-1969

Authorized official

Michael Lee
Owner
7043091969

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