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SECOND CHANCE ADDICTION CARE
NPI 1124703418
Substance Abuse Rehabilitation Facility in Rockville, MD

Active since June 15, 2023
401 E JEFFERSON ST STE 203, ROCKVILLE, MD 20850(301) 983-5130(855) 270-6701 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Second Chance Addiction Care NPPES

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

SECOND CHANCE ADDICTION CARE (NPI 1124703418) is a healthcare organization registered as a substance abuse rehabilitation facility in Rockville, Maryland and active in the NPI registry since June 2023. The organization lists Cheryl Ann Moore, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1124703418
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSECOND CHANCE ADDICTION CARE
Location Address401 E JEFFERSON ST STE 203Rockville, MD 20850-2617
Mailing Address9800 Falls Rd Ste 7Potomac, MD 20854-3942 · (301) 983-5130 · Fax (855) 270-6701
Phone(301) 983-5130
Fax(855) 270-6701
Organization SubpartNo
Authorized OfficialCheryl Ann MooreClinical Director · (240) 723-5018
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1124703418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
401 E JEFFERSON ST STE 203, Rockville, MD 20850
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Other Identifiers 1

Medicaid500320200MD

Other Providers at the Same Location NPPES 4

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

SABRINA FIGUERA VELASCO LMSW
Social Worker (Clinical)
401 E JEFFERSON ST STE 203
ROCKVILLE, MD 20850
Montgomery County (401) 203-2085
SECOND CHANCE ADDICTION CARE LLC
Substance Abuse Rehabilitation Facility
401 E JEFFERSON ST STE 203
ROCKVILLE, MD 20850
Montgomery County (301) 983-5130
SECOND CHANCE ADDICTION CARE
Clinic/Center (Mental Health (Including Community Mental Health Center))
401 E JEFFERSON ST STE 203
ROCKVILLE, MD 20850
Montgomery County (301) 983-5130
CATHLEEN NGUYEN LMSW
Social Worker (Clinical)
401 E JEFFERSON ST STE 203
ROCKVILLE, MD 20850
Montgomery County (301) 453-2434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Chance Addiction Care's NPI number?

The NPI number for Second Chance Addiction Care is 1124703418. It was assigned to this organization in the NPPES registry on June 15, 2023.

Where is Second Chance Addiction Care located?

Second Chance Addiction Care is located at 401 E Jefferson St Ste 203, Rockville, MD 20850. The listed phone number is (301) 983-5130.

What is Second Chance Addiction Care's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Second Chance Addiction Care was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.