2ND Chance Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

17-12840000 Issued in WA

Legal business name

2ND CHANCE RECOVERY CENTER

Practice address

133 SW 153Rd St
Burien, WA 98166-2311

Phone

(206) 242-4915

Fax

(206) 242-4975

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Michael Serletti, CDP

Title

Treatment Director

Phone

(206) 242-4915

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093920548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662311",
            "telephone_number": "206-242-4915",
            "fax_number": "206-242-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SW 153RD ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662311",
            "telephone_number": "206-242-4915",
            "fax_number": "206-242-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2ND CHANCE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERLETTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "206-242-4915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "17-12840000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #1664)
• 2ND Chance Recovery Center LLC
• Joy Aardappel, DC
• Carmen River Abbe
• Ummalkhayri M Abdala
• Hasan Abdessamad, MD

• Community/Behavioral Health Agency in Burien, WA
• Providers in Burien, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.