Southeast Second Chance, Inc in Brunswick - Clinical
Southeast Second Chance, Inc - NPI 1932223302
Southeast Second Chance, Inc is a Clinical in Brunswick, Georgia. Southeast Second Chance, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Southeast Second Chance, Inc is 1932223302. The last update date is 2023-02-06.
Southeast Second Chance, Inc's current location address is Po Box 2727, Brunswick, Georgia. You can contact this provider via phone number 9122652055 and fax number 9122652509. The mailing address for Southeast Second Chance, Inc is Po Box 2727, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Second Chance, Inc |
|---|---|
| Address | Po Box 2727, Brunswick, Georgia |
| Phone Number | 9122652055 |
| Fax Number | 9122652509 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cruwys Stephanie |
| Credentials | LCSW |
| Telephone Number | 9122652055 |
NPI Number Detail
| NPI Number | 1932223302 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2023-02-06 |
Provider Mailing Address Detail
| Address | Po Box 2727 |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315212727 |
| Phone Number | 9122652055 |
| Fax Number | 9122652509 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003287 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 851663137A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Second Chance, Inc by the Centers for Medicare & Medicaid Services?
The Southeast Second Chance, Inc has been issued the NPI (National Provider Identifier) 1932223302. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Southeast Second Chance, Inc's facilities are geographically located?
The facilities of Southeast Second Chance, Inc are physically situated at the following location: Po Box 2727, Brunswick, GA, 315212727.
What is the area of specialization for Southeast Second Chance, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Second Chance, Inc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932223302 to Southeast Second Chance, Inc?
The Southeast Second Chance, Inc received its 1932223302 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the information related to Southeast Second Chance, Inc most recently updated or refreshed?
The details pertaining to the Southeast Second Chance, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-06.