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A Second Chance
Community/Behavioral Health Agency in West Covina, California
NPI 1427334721

A Second Chance is a Community/Behavioral Health Agency based in West Covina, CA. A Second Chance practices in West Covina, CA. The NPI Number for A Second Chance is 1427334721 and holds a License No. BBS4936 (California).

The current practice location address for A Second Chance is 707 N Foxdale Ave, West Covina, CA and can be reached out via phone at 626-430-6197 and via fax at 626-430-7404.

Location: 707 N Foxdale Ave, West Covina, CA, 91790-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427334721
Provider Name
A Second Chance
Credential
Provider Entity Type
Organization
Address
707 N Foxdale Ave, West Covina, CA, 91790-1213
Phone Number
626-430-6197
Fax Number
626-430-7404
Provider Enumeration Date
10/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 SINGLE SPECIALITY GROUP
390200000X 01 CA STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION TRAINING PROGRAM
261Q00000X 01 CA COMMUNITY CLINIC CENTER
BBS4936 01 CA AGENCY
AGENCY 01 CA VICITMS OF CRIME
institution
Provider Business Practice Location Address Details
Address
707 N Foxdale Ave
City
West Covina
State
California
Zip
91790-1213
Phone Number
626-430-6197
Fax Number
626-430-7404
person
Provider Business Mailing Address Details
Address
707 N Foxdale Ave
City
West Covina
State
California
Zip
91790-1213
Phone Number
626-430-6197
Fax Number
626-430-7404
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
162257 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
BBS4936 (California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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