SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC (NPI# 1992294698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992294698 |
| 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 | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 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 |
| 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 |
| 1093204794 | Second Chance Behavioral Health Center LLC | Substance Abuse Rehabilitation Facility | 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 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1336650605 | Patapsco Ave Health Services | Clinical Medical Laboratory | 1017 E Patapsco Ave, Baltimore, MD 21225-2228 | 2017-10-13 |
| 1154850063 | Maximum Lab Services, LLC | Clinical Medical Laboratory | 2211 Maryland Ave Ste A, Baltimore, MD 21218-5627 | 2017-06-06 |
| 1073925517 | Sysmex Inostics, Inc. | Clinical Medical Laboratory | 1812 Ashland Ave, Suite 500, Baltimore, MD 21205-1546 | 2014-06-02 |
| 1245655067 | Carepoint Diagnostic Services, Ltd | Clinical Medical Laboratory | 7416 Harford Rd, Baltimore, MD 21234-7107 | 2014-03-03 |
| 1366776551 | Brt Laboratories, Inc. | Clinical Medical Laboratory | 400 W Franklin St, Baltimore, MD 21201-1811 | 2009-09-22 |
| 1265685440 | Ccc Diagnostics, LLC | Clinical Medical Laboratory | 3918 Vero Road, Suite B, Baltimore, MD 21227-1522 | 2008-10-31 |
| 1518150846 | Howard H. Bond,m.d | Clinical Medical Laboratory | 9618 Belair Rd, Baltimore, MD 21236-1104 | 2007-08-21 |
| 1942425905 | Ophthalmic Photography Inc | Clinical Medical Laboratory | 3131 Enclave Ct, Baltimore, MD 21208-3337 | 2007-04-16 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC.
| 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.