Provider Demographics
NPI:1841430857
Name:SECOND CHANCE TWO INC
Entity Type:Organization
Organization Name:SECOND CHANCE TWO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:724-564-1437
Mailing Address - Street 1:304 SHELDON AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRCHANCE
Mailing Address - State:PA
Mailing Address - Zip Code:15436-1072
Mailing Address - Country:US
Mailing Address - Phone:724-564-1437
Mailing Address - Fax:
Practice Address - Street 1:304 SHELDON AVE
Practice Address - Street 2:
Practice Address - City:FAIRCHANCE
Practice Address - State:PA
Practice Address - Zip Code:15436-1072
Practice Address - Country:US
Practice Address - Phone:724-564-1437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility