Second Chance Recovery Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SECOND CHANCE RECOVERY INC

Doing business as

Second Chance Recovery

Practice address

1135 E Route 66 Ste 209
Glendora, CA 91740-3778

Phone

(626) 353-4289

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Amy Roberts

Title

Ceo/Owner

Phone

(626) 353-4289

Specialties & licenses 3

Addresses

Other names 1

• Second Chance Recovery Doing business as

Locations

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1164987376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 209",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403778",
            "telephone_number": "626-353-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66 STE 209",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403778",
            "telephone_number": "626-353-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "626-353-4289"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Chance Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Sayegh, DDS
• Tony Ammar Sayegh, D.D.S
• Candice Cheri Saylor, L.V.N.
• Andrea Lynn Schneider, LCSW
• Marissa Scholefield
• Jonathan Sedberry, NP
• Roxana Segovia
• Heather Seguin, MA, LMFT
• Select CS Physical Therapy, P.C.
• Francis Paul Senise, D.D.S.

• Substance Use Disorder Rehabilitation Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.