NPIMap

Organization Active NPI

Second Chance Behavioral Health Center LLC

  • Psychiatric Hospital
  • Brooklyn Park, MD
National Provider Identifier
1609490838
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC
Practice address
5517 Ritchie Hwy
Brooklyn Park, MD 21225-3457
Phone
(410) 505-0013
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

5517 Ritchie Hwy
Brooklyn Park, MD 21225-3457

Mailing address

5517 Ritchie Hwy
Brooklyn Park, MD 21225-3457
Phone (410) 505-0013

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.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1609490838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 RITCHIE HWY",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253457",
            "telephone_number": "410-505-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 RITCHIE HWY",
            "city": "BROOKLYN PARK",
            "state": "MD",
            "postal_code": "212253457",
            "telephone_number": "410-505-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "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": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.