Second Chance Hayward Recovery Center in Hayward - Community/behavioral Health
Second Chance Hayward Recovery Center - NPI 1356543011
Second Chance Hayward Recovery Center is a Community/behavioral Health in Hayward, California. Second Chance Hayward Recovery Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Second Chance Hayward Recovery Center is 1356543011. The last update date is 2020-08-22.
Second Chance Hayward Recovery Center's current location address is 107 Jackson St, Hayward, California. You can contact this provider via phone number 5108868696 and fax number 5108889054. The mailing address for Second Chance Hayward Recovery Center is 107 Jackson St, Hayward, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Chance Hayward Recovery Center |
|---|---|
| Address | 107 Jackson St, Hayward, California |
| Phone Number | 5108868696 |
| Fax Number | 5108889054 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcconville R Mark |
| Telephone Number | 5107924357 |
NPI Number Detail
| NPI Number | 1356543011 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 107 Jackson St |
|---|---|
| City | Hayward |
| State | California (CA) |
| Post Code | 945441948 |
| Phone Number | 5108868696 |
| Fax Number | 5108889054 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 01AB |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique identifier code issued to Second Chance Hayward Recovery Center by the Centers for Medicare & Medicaid Services (CMS)?
The Second Chance Hayward Recovery Center has been assigned the NPI (National Provider Identifier) 1356543011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Second Chance Hayward Recovery Center's facilities are geographically located?
The facilities of Second Chance Hayward Recovery Center are physically situated at the following location: 107 Jackson St, Hayward, CA, 945441948.
What is the Second Chance Hayward Recovery Center's area of specialization and corresponding taxonomy classification?
The Second Chance Hayward Recovery Center's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1356543011 assigned to Second Chance Hayward Recovery Center?
The Second Chance Hayward Recovery Center was issued its 1356543011 on 2007-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Second Chance Hayward Recovery Center last refreshed?
The information related to the Second Chance Hayward Recovery Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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