SECOND CHANCE RESOURCE CENTER NPI 1043079536

NPI Information

  • NPI: 1043079536
  • Provider Name: SECOND CHANCE RESOURCE CENTER
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Doing Business As: SECOND CHANCE RESOURCE CENTER
  • Address: 2105 ECHODALE AVE
    BALTIMORE, MD
    ZIP 21214
  • Phone: (202) 902-3022

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NPI Details

SECOND CHANCE RESOURCE CENTER is a voluntary or charitable in Baltimore, MD. SECOND CHANCE RESOURCE CENTER NPI is 1043079536. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Second Chance Resource Center.

The provider's business location address is:

2105 ECHODALE AVE
BALTIMORE, MD
ZIP 21214-927
Phone: (202) 902-3022

The provider's authorized official is Tonya Hicks .
The authorized official title is Executive Director and has the following contact phone number (202) 902-3022.

The enumeration date for this NPI number is 3/18/2024 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251V00000XVoluntary or CharitableYes
3344800000XAir CarrierNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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