Second Chance Tri-Cities Center in Newark - Community/behavioral Health
Second Chance Tri-Cities Center - NPI 1336341098
Second Chance Tri-Cities Center is a Community/behavioral Health in Newark, California. Second Chance Tri-Cities Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Second Chance Tri-Cities Center is 1336341098. The last update date is 2020-08-22.
Second Chance Tri-Cities Center's current location address is Po Box 643, Newark, California. You can contact this provider via phone number 5107924357 and fax number 5107451693. The mailing address for Second Chance Tri-Cities Center is Po Box 643, Newark, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Second Chance Tri-Cities Center |
|---|---|
| Address | Po Box 643, Newark, California |
| Phone Number | 5107924357 |
| Fax Number | 5107451693 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mcconville R Mark |
| Telephone Number | 5107924357 |
NPI Number Detail
| NPI Number | 1336341098 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 643 |
|---|---|
| City | Newark |
| State | California (CA) |
| Post Code | 945600643 |
| Phone Number | 5107924357 |
| Fax Number | 5107451693 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 179 |
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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 10-digit identification code assigned to Second Chance Tri-Cities Center by the Centers for Medicare & Medicaid Services?
The Second Chance Tri-Cities Center has been issued the NPI (National Provider Identifier) 1336341098, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Second Chance Tri-Cities Center's physical address?
The Second Chance Tri-Cities Center is physically located at Po Box 643, in the city of Newark, CA, with the postal code 945600643.
What is the Second Chance Tri-Cities Center's area of specialization and corresponding taxonomy classification?
The Second Chance Tri-Cities 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 did the Centers for Medicare & Medicaid Services issue the 1336341098 to Second Chance Tri-Cities Center?
The Second Chance Tri-Cities Center received its 1336341098 assignment from the Centers for Medicare & Medicaid Services on 2007-06-04.
As of what date were the Second Chance Tri-Cities Center's details last updated?
The information pertaining to the Second Chance Tri-Cities Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.