Provider Demographics
NPI:1841741501
Name:SECOND CHANCES, INC.
Entity Type:Organization
Organization Name:SECOND CHANCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:AMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-838-8650
Mailing Address - Street 1:PO BOX 120081
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02112-0081
Mailing Address - Country:US
Mailing Address - Phone:617-838-8650
Mailing Address - Fax:
Practice Address - Street 1:381 WICKENDEN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4425
Practice Address - Country:US
Practice Address - Phone:877-557-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children