CHANCE 2 CHANGE NPI 1164815106

NPI Information

  • NPI: 1164815106
  • Provider Name: CHANCE 2 CHANGE
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: BREAK THE CYCLE
  • Address: 724 S BEACH ST
    SUITE 3
    DAYTONA BEACH, FL
    ZIP 32114
  • Phone: (386) 437-0235

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NPI Details

CHANCE 2 CHANGE is a rehabilitation and substance use disorder clinic center in Daytona Beach, FL. CHANCE 2 CHANGE NPI is 1164815106. The provider is registered as an organization entity type.
The provider Is Doing Business As Break The Cycle.

The provider's business location address is:

724 S BEACH ST
SUITE 3
DAYTONA BEACH, FL
ZIP 32114-441
Phone: (386) 437-0235

The provider's authorized official is Kim Jones .
The authorized official title is Manager and has the following contact phone number (386) 437-0235.

The enumeration date for this NPI number is 3/16/2015 and was last updated on 6/22/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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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