Second Chance Sle
NPI #1851560072 in Newark, California
Provider Information
- NPI Number
- 1851560072
- Entity Type
- Organization
- Organization Name
- Second Chance Sle
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 21, 2008
- Last Updated
- Feb 21, 2008
Practice Location
- Address
- 6448 BROADWAY AVE
- City
- Newark
- State
- California
- ZIP Code
- 94560-4012
- Phone
- (510) 792-4357
Authorized Official
- Name
- MR. MARK ROBERT MCCONVILLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (510) 792-4357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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