NPI 1093968836

A Second Chance,inc

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Greenville, NC

Practice location

Address: 1209 Duce Dr, Greenville, NC 27834-6566
Phone: (252) 227-4925

Authorised official

Name: Shirley Ann Sutton
Title: Owner
Phone: (252) 412-2554

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-074-193 (NE)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1093968836
Entity type: Organization
NPI issued: 24 Oct 2008
Record last updated: 24 Oct 2008

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.