| Organization Name: | A 2ND CHANCE RECOVERY CENTER, INC. |
| NPI Number: | 1760615041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLY J BOOTH (DIRECTOR) |
| Mailing Address: | 5607 Ringgold Rd East Ridge |
| State: | TN US |
| Postal Code: | 374123131 |
| Phone Number: | 8663744673 |
| Fax Number: | 6154532609 |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 09/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |