Provider Demographics
NPI:1841439817
Name:A SECOND CHANCE INC.
Entity type:Organization
Organization Name:A SECOND CHANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF CLINICAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW/LSW
Authorized Official - Phone:412-342-0600
Mailing Address - Street 1:8350 FRANKSTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-1336
Mailing Address - Country:US
Mailing Address - Phone:412-342-0600
Mailing Address - Fax:412-342-0402
Practice Address - Street 1:8350 FRANKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-1336
Practice Address - Country:US
Practice Address - Phone:412-342-0600
Practice Address - Fax:412-342-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health