SAN DIEGO SECOND CHANCE PROGRAM - NPI 1053139394 - Community/Behavioral Health in San Diego, CA

Q: What is San Diego Second Chance Program's NPI number?

The NPI number for San Diego Second Chance Program is 1053139394. It was assigned to this organization in the NPPES registry on September 26, 2024.

Q: What is San Diego Second Chance Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

On this page

About San Diego Second Chance Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO SECOND CHANCE PROGRAM (NPI 1053139394) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since September 2024. The organization lists Bill Payne, Executive Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1053139394

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSAN DIEGO SECOND CHANCE PROGRAM

Location Address6145 IMPERIAL AVESan Diego, CA 92114-4213

Mailing Address6145 Imperial Ave, Central Drug CourtSan Diego, CA 92114-4213 · (619) 234-8888 · Fax (619) 234-7787

Phone(619) 234-8888

Fax(619) 234-7787

Organization SubpartNo

Authorized OfficialBill PayneExecutive Director & Ceo · (619) 234-8888

Enumeration DateSeptember 26, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1053139394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

6145 IMPERIAL AVE, San Diego, CA 92114

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUZ GUADALUPE PORTUGAL

Counselor (Addiction (Substance Use Disorder))