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SECOND CHANCE HAYWARD RECOVERY CENTER
NPI 1356543011
Community/Behavioral Health in Hayward, CA

Active since June 04, 2007
107 JACKSON ST, HAYWARD, CA 94544(510) 886-8696(510) 888-9054 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Second Chance Hayward Recovery Center NPPES

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

SECOND CHANCE HAYWARD RECOVERY CENTER (NPI 1356543011) is a healthcare organization registered as a community/behavioral health in Hayward, California and active in the NPI registry since June 2007. The organization lists Mark R Mcconville, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1356543011
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSECOND CHANCE HAYWARD RECOVERY CENTER
Location Address107 JACKSON STHayward, CA 94544-1948
Mailing Address107 Jackson StHayward, CA 94544-1948 · (510) 886-8696 · Fax (510) 888-9054
Phone(510) 886-8696
Fax(510) 888-9054
Organization SubpartNo
Authorized OfficialMark R McconvilleExecutive Director · (510) 792-4357
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356543011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 01AB
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.
107 JACKSON ST, Hayward, CA 94544
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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.

CRYSTAL JEANNE BUCHTER
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
JOSHUA ARANDA
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 792-4357
COLIN FOSTER CARMICHAEL
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
BARBARA L. REYES
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
LANA RICE
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
VIJAY PAL
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
DEAN ENCIRDI
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696
CINDY FLORIDO
Counselor (Addiction (Substance Use Disorder))
107 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 886-8696

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 Hayward Recovery Center's NPI number?

The NPI number for Second Chance Hayward Recovery Center is 1356543011. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Second Chance Hayward Recovery Center located?

Second Chance Hayward Recovery Center is located at 107 Jackson St, Hayward, CA 94544. The listed phone number is (510) 886-8696.

What is Second Chance Hayward Recovery Center'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 Hayward Recovery Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.