NPIMap

Organization Active NPI

Second Chance Behavioral Health Center LLC

  • Behavior Technician
  • Baltimore, MD
National Provider Identifier
1619495876
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC
Practice address
2502 Maryland Ave
Baltimore, MD 21218-4510
Phone
(443) 660-6059
NPI assigned
Sep 7, 2017
Last updated
Sep 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Ms. Towanda Renee Taylor
Title
Ceo
Phone
(443) 660-6059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X MD Primary

Addresses

Primary practice location

2502 Maryland Ave
Baltimore, MD 21218-4510

Mailing address

10045 Ardenne Way
Owings Mills, MD 21117-4072
Phone (443) 660-6059

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": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1619495876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 ARDENNE WAY",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174072",
            "telephone_number": "443-660-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184510",
            "telephone_number": "443-660-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-660-6059",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.