Organization Name: | SECOND CHANCE SERVICES UNLIMITED INC. |
NPI Number: | 1033365812 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAMIE LEE BYNUM (PRESIDENT/FOUNDER) |
Mailing Address: | 10001 Derekwood Ln Ste 200 Lanham |
State: | MD US |
Postal Code: | 207064871 |
Phone Number: | 3017310889 |
Fax Number: | 3017311001 |
NPI Enumeration Date: | 08/13/2008 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | DDA1865707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |