Organization · NPI-2

2nd Chance Home For Children

Residential Treatment Facility, Emotionally Disturbed Children · Raleigh, NC

NPI number1992918627
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1992918627
Entity type
Organization (NPI-2)
Legal business name
2nd Chance Home For Children
Organization subpart
No
Enumeration date
May 8, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed ChildrenMHL-092-554NCYes

Practice location

729 Kavkaz St
Raleigh, NC 27610-3174

Phone 919-255-9795 · Fax 919-255-9795

Mailing address

729 Kavkaz St
Raleigh, NC 27610-3174

Phone 919-255-9795 · Fax 919-255-9795

Authorized official

Cheryl D. Martin
Executive Director
9192478187

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