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Second Chance For You
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Charlotte, North Carolina
NPI 1083808497

Second Chance For You is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Charlotte, NC. Second Chance For You practices in Charlotte, NC. The NPI Number for Second Chance For You is 1083808497 and holds a License No. 0601002 (North Carolina).

The current practice location address for Second Chance For You is 1526 Peachcroft Rd, Charlotte, NC and can be reached out via phone at 704-231-2889. You can also correspond with Second Chance For You through the mailing address at 2213 SOUTHWIND DR, CHARLOTTE, NC - 28216-8846 (mailing address contact number: 704-231-2889).

Location: 1526 Peachcroft Rd, Charlotte, NC, 28216-8846
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083808497
Provider Name
Second Chance For You
Credential
Provider Entity Type
Organization
Address
1526 Peachcroft Rd, Charlotte, NC, 28216-8846
Phone Number
704-231-2889
Fax Number
Provider Enumeration Date
08/29/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7805669 05 NC
institution
Provider Business Practice Location Address Details
Address
1526 Peachcroft Rd
City
Charlotte
State
North Carolina
Zip
28216-2747
Phone Number
704-231-2889
Fax Number
person
Provider Business Mailing Address Details
Address
1526 Peachcroft Rd
City
Charlotte
State
North Carolina
Zip
28216-2747
Phone Number
704-231-2889
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
0601002 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
0601002 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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