Provider Demographics
NPI:1790254308
Name:ANOTHER CHANCE TREATMENT CENTER
Entity Type:Organization
Organization Name:ANOTHER CHANCE TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-456-8357
Mailing Address - Street 1:5021 MALLISON WAY
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9003
Mailing Address - Country:US
Mailing Address - Phone:336-456-8357
Mailing Address - Fax:
Practice Address - Street 1:236 N MEBANE ST STE 106
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-3900
Practice Address - Country:US
Practice Address - Phone:336-456-8357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center