| Second Chance Case Management Inc | |
|
15485 Eagle Nest Ln Ste 150 Miami Lakes FL 33014-2200 | |
| (178) 302-5424 | |
| (786) 396-5317 |
| Full Name | Second Chance Case Management Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15485 Eagle Nest Ln Ste 150, Miami Lakes, Florida |
| Authorized Official Name and Position | Anneliesse Santana Hernandez (OWNER) |
| Authorized Official Contact | 7863025424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Case Management Inc 15485 Eagle Nest Ln Ste 150 Miami Lakes FL 33014-2200 Ph: (178) 302-5424 | Second Chance Case Management Inc 15485 Eagle Nest Ln Ste 150 Miami Lakes FL 33014-2200 Ph: (178) 302-5424 |
| NPI Number | 1063152346 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063152346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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