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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
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 |
Street Address |
2502 MARYLAND AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21218-4510 |
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 |
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 Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
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] |
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 |
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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.