SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC


Address: 2502 Maryland Ave, Baltimore, MD 21218-4510
Phone: 4105049048

SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC (NPI# 1093204794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093204794
Entity Type Organization
Organization Name SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC
Practice Address 2502 Maryland Ave
Baltimore
MD 21218-4510
Practice Telephone 4105049048
Mailing Telephone 4105049048
Enumeration Date 2018-05-08
Last Update Date 2018-05-08
Authorized Official Name TOWANDA TAYLOR (CEO)
Authorized Official Telephone 4105049048
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609490838 Second Chance Behavioral Health Center LLC Psychiatric Hospital 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 2020-06-03
1275157505 Second Chance Behavioral Health Center LLC Clinic/Center 5517 Ritchie Hwy, Brooklyn Park, MD 21225-3457 2020-06-02
1134610322 Second Chance Behavioral Health Center LLC Psychologist 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-23
1134618838 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1699264317 Second Chance Behavioral Health Center LLC Pharmacy 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1992294698 Second Chance Behavioral Health Center LLC Clinical Medical Laboratory 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1811486715 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-07
1275022170 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-07
1619495876 Second Chance Behavioral Health Center LLC Behavior Technician 2502 Maryland Ave, Baltimore, MD 21218-4510 2017-09-07

Office Location

Street Address 2502 MARYLAND AVE
City BALTIMORE
State MD
Zip Code 21218-4510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346454147 Aisha Dawn Mackall Social Worker 2502 Maryland Ave, 1st Floor, Baltimore, MD 21218-4510 2007-05-10
1134610322 Second Chance Behavioral Health Center LLC Psychologist 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-23
1134618838 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1699264317 Second Chance Behavioral Health Center LLC Pharmacy 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1992294698 Second Chance Behavioral Health Center LLC Clinical Medical Laboratory 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-08
1811486715 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-07
1275022170 Second Chance Behavioral Health Center LLC Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-05-07
1891298279 Second Chance Behavioral Health Services Clinic/Center 2502 Maryland Ave, Baltimore, MD 21218-4510 2018-03-13
1619495876 Second Chance Behavioral Health Center LLC Behavior Technician 2502 Maryland Ave, Baltimore, MD 21218-4510 2017-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851933725 Tierra Bouyer Speech-Language Pathologist 2040 East 32nd Street, Baltimore, MD 21218 2019-10-12
1093273559 Brenda H. Wells Social Worker 200 E. North Ave., Baltimore, MD 21218 2019-03-04
1619441011 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 2514 Greenmount Avenue, Baltimore, MD 21218 2019-01-18
1649740291 Elise Christine Starkey Occupational Therapist 801 Argonne Drive, Baltimore, MD 21218 2018-11-27
1851861421 Alagra S Bass Social Worker 1900 N. Howard Street Suite 300, Baltimore, MD 21218 2018-11-27
1396213575 Desiree Luerene Israel Social Worker 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 2018-11-06
1952885451 Harwood Behavioral Health Partners, LLC Clinic/Center 2514 Greenmount Ave, Baltimore, MD 21218 2018-09-20
1528548047 Rozi Khan Student in an Organized Health Care Education/Training Program 325 East University Pkwy 1-3, Bltimore, MD 21218 2018-08-14
1558866202 Prabij N/a Dhungana Student in an Organized Health Care Education/Training Program 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 2018-03-26
1588163562 Generation 5 Healthcare, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 707 Belgian Ave., Baltimore, MD 21218 2018-02-06
Find all providers in zip 21218

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942808050 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 10 S Broadway, Baltimore, MD 21231-1775 2020-10-12
1396343414 Powell Recovery Center, Inc. Substance Abuse Rehabilitation Facility 15 S Broadway, Baltimore, MD 21231-1714 2020-10-12
1457968984 Powell Recovery Center Substance Abuse Rehabilitation Facility 22 S Broadway, Baltimore, MD 21231-1711 2020-09-29
1356956676 The Elysian Fields Optimum Wellness and Mental Health Group, LLC Substance Abuse Rehabilitation Facility 2901 Erdman Ave, Baltimore, MD 21213-1139 2020-09-14
1134731284 Serenity Keepers of Maryland LLC Substance Abuse Rehabilitation Facility 3645 Cottage Ave, Baltimore, MD 21215-7725 2020-08-20
1447875216 Unlimited Bounds Human Services LLC Substance Abuse Rehabilitation Facility 504 Beaumont Ave, Baltimore, MD 21212-4310 2020-06-08
1417577966 Royal Minds Inc Substance Abuse Rehabilitation Facility 928 W Franklin St, Baltimore, MD 21223-1337 2020-04-24
1912527722 Royal Minds Inc Substance Abuse Rehabilitation Facility 533 Chateau Ave, Baltimore, MD 21212-4306 2020-04-22
1841829892 Cmds Residential Substance Abuse Rehabilitation Facility 15 S Fulton Ave, Baltimore, MD 21223-2306 2020-04-02
1306472964 Created for Greater Health Systems Substance Abuse Rehabilitation Facility 1508 N Caroline St, Baltimore, MD 21213-2804 2020-03-16
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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