| 1st & 2nd Chance Adult Care Services Inc | |
|
401 Jackson Park Rd Kannapolis NC 28083-3655 | |
| (980) 307-6222 | |
| (704) 454-7349 |
| Full Name | 1st & 2nd Chance Adult Care Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 401 Jackson Park Rd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Sharon Edwards Berryman (OWNER) |
| Authorized Official Contact | 9803076222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st & 2nd Chance Adult Care Services Inc 401 Jackson Park Rd Kannapolis NC 28083-3655 Ph: (980) 307-6222 | 1st & 2nd Chance Adult Care Services Inc 401 Jackson Park Rd Kannapolis NC 28083-3655 Ph: (980) 307-6222 |
| NPI Number | 1033531231 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033531231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-013-176 (North Carolina) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | MH-013177 (North Carolina) | Secondary |
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