| Second Chance At Hand Outreach Center Llc | |
|
1830 S Alma School Rd Ste 134 Mesa AZ 85210-3088 | |
| (601) 508-6446 | |
| Not Available |
| Full Name | Second Chance At Hand Outreach Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1830 S Alma School Rd Ste 134, Mesa, Arizona |
| Authorized Official Name and Position | Quantina Riley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6015086446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance At Hand Outreach Center Llc 1830 S Alma School Rd Ste 134 Mesa AZ 85210-3088 Ph: (601) 508-6446 | Second Chance At Hand Outreach Center Llc 1830 S Alma School Rd Ste 134 Mesa AZ 85210-3088 Ph: (601) 508-6446 |
| NPI Number | 1235891193 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235891193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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