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SECOND CHANCE OUTREACH SERVICES NPI 1427309103


NPI Information

NPI: 1427309103
Provider Name: SECOND CHANCE OUTREACH SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1607 E DIXON BLVD
SHELBY, NC
ZIP 28152
Phone: (704) 300-2226
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SECOND CHANCE OUTREACH SERVICES is a community behavioral health in Shelby, NC. The provider is 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SECOND CHANCE OUTREACH SERVICES NPI is 1427309103. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1607 E DIXON BLVD
SHELBY, NC
ZIP 28152-976
Phone: (704) 300-2226

The provider's authorized official is Jerry Beam .
The authorized official title is Owner and has the following contact phone number (704) 300-2226.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 9/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalNo
2207R00000XInternal MedicineNo
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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