NPIMap

Organization Active NPI

Second Chance Behavioral Health Center LLC

  • Substance Abuse Rehabilitation Facility
  • Salisbury, MD
National Provider Identifier
1043075583
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC
Practice address
224 Phillip Morris Dr Unit 300-302
Salisbury, MD 21804-1964
Phone
(410) 504-9048
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Towanda Taylor
Title
Ceo
Phone
(410) 504-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

224 Phillip Morris Dr Unit 300-302
Salisbury, MD 21804-1964

Mailing address

224 Phillip Morris Dr Unit 300-302
Salisbury, MD 21804-1964
Phone (410) 504-9048

National Provider Directory

National Provider Directory
Tax ID family
Second Chance Behavioral Health Center LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Phillip Morris Dr
Salisbury, MD 21804
Phone (410) 831-3174

224 Phillip Morris Dr
Unit 300302
Salisbury, MD 21804
Phone (410) 504-9048

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1043075583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PHILLIP MORRIS DR UNIT 300-302",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041964",
            "telephone_number": "410-504-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PHILLIP MORRIS DR UNIT 300-302",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041964",
            "telephone_number": "410-504-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-504-9048"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.