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SECOND CHANCE PHOENIX WOMEN'S PROGRAM
NPI 1265600472
Community/Behavioral Health in Newark, CA

Active since February 11, 2008
6330 THORNTON AVE, SUITE A, NEWARK, CA 94560(510) 745-1675 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Second Chance Phoenix Women's Program NPPES

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

SECOND CHANCE PHOENIX WOMEN'S PROGRAM (NPI 1265600472) is a healthcare organization registered as a community/behavioral health in Newark, California and active in the NPI registry since February 2008. The organization lists Jimmy L Rogers, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265600472
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSECOND CHANCE, INC.
Location Address6330 THORNTON AVE, SUITE ANewark, CA 94560-3734
Mailing Address6330 Thornton Ave, Suite ANewark, CA 94560-3734 · (510) 745-1675
Phone(510) 745-1675
Organization SubpartNo
Authorized OfficialJimmy L RogersExecutive Director · (510) 745-1675
Enumeration DateFebruary 11, 2008
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1265600472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 018060
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.
6330 THORNTON AVE, Newark, CA 94560
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Other Names 1

Other NameSecond Chance Phoenix Women's Program

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.

PATRICIA L DAVIDSON
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
ROBERT LEE CASH
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
VERNITA GREEN
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
DAVID SCHWITALLA
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
JEANETTE MAKAHILAHILA AHKOI
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
MS. ELIZABETH KATHLEEN WILSON
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
DENNIS FINDLEY
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (510) 792-4357
RACHEL MORENO
Counselor (Addiction (Substance Use Disorder))
6330 THORNTON AVE
NEWARK, CA 94560
Alameda County (501) 792-4357

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, Inc.'s NPI number?

The NPI number for Second Chance, Inc. is 1265600472. It was assigned to this organization in the NPPES registry on February 11, 2008. The provider is also known as Second Chance Phoenix Women's Program.

Where is Second Chance, Inc. located?

Second Chance, Inc. is located at 6330 Thornton Ave Suite A, Newark, CA 94560. The listed phone number is (510) 745-1675.

What is Second Chance, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Second Chance, Inc. was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.