NPI 1083808497

Second Chance for You

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Charlotte, NC

Practice location

Address: 1526 Peachcroft Rd, Charlotte, NC 28216-2747
Phone: (704) 231-2889
Mailing address: 2213 Southwind Dr, Charlotte, NC 28216-8846

Authorised official

Name: Kertrenia S Jones
Title: Owner
Phone: (704) 807-5910

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 0601002 (NC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 0601002 (NC)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1083808497
Entity type: Organization
NPI issued: 29 Aug 2007
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.