NPI 1003196379 SECOND CHANCES YOUTH SERVICES PETERSBURG VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Second Chances Youth Services - NPI: 1003196379

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SECOND CHANCES YOUTH SERVICES
NPI Number: 1003196379
Entity Type Code: Organizational (2)
Authorized Official Name: DAMION RICARDO MASON
(CEO)
Mailing Address: 139b Baker St
Emporia
State: VA US
Postal Code: 238471703
Phone Number: 4343361010
Fax Number: 4343361110
NPI Enumeration Date: 08/18/2011
NPI Last Update Date: 08/18/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 251S00000X
License Number: 1389
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Agencies
Taxonomy Classification: Community/Behavioral Health
Taxonomy Specialization:
Taxonomy Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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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