Active NPI
Chance 2 Change
Doing business as Break the Cycle
- Substance Use Disorder Rehabilitation Clinic/Center
- Palatka, FL
National Provider Identifier
1073313177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- CHANCE 2 CHANGE
- Doing business as
- Break the Cycle
- Practice address
- 216 S 6TH St Ste 3
Palatka, FL 32177-4608 - Phone
- (386) 333-9622
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly A Young
- Title
- Ceo
- Phone
- (386) 333-9622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
216 S 6TH St Ste 3
Palatka, FL 32177-4608
Mailing address
724 S Beach St Ste 3
Daytona Beach, FL 32114-5412
Phone (386) 333-9622
Other names 1
- BREAK THE CYCLE
National Provider Directory
National Provider Directory- Tax ID family
- Break the Cycle
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Break the Cycle
- Substance Use Disorder Rehabilitation Clinic/Center
- Daytona Beach, FL
- NPI 1164815106
-
dba Break the Cycle
- Substance Use Disorder Rehabilitation Clinic/Center
- Daytona, FL
- NPI 1578911541
-
dba Break The Cycle
- Substance Use Disorder Rehabilitation Clinic/Center
- Bunnell, FL
- NPI 1750708004
Locations
724 S Beach St
Ste 3
Daytona Beach, FL 32114
Phone (386) 437-0235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1073313177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 S BEACH ST STE 3",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145412",
"telephone_number": "386-333-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 S 6TH ST STE 3",
"city": "PALATKA",
"state": "FL",
"postal_code": "321774608",
"telephone_number": "386-333-9622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANCE 2 CHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-333-9622"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BREAK THE CYCLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palatka, FL
- Brenda R Castells, MD
- Michelle Lee Casto, ARNP
- Lucia F Castro, LPN
- Centers for Advanced Imaging Inc
- Centerwell Health Services (Certified), Inc. (Centerwell Home Health)
- Elizabeth Mary Chang, MD
- Steve Allen Chapman, DMD PA
- John Graham Charles, PA
- Aaron Allan Cherry, COTA
- Children's Home Society of Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.