SECOND CHANCE 2000 INC.
NPI 1487345799
Peer Specialist in Highland Park, MI

Active since May 17, 2023
12840 HAMILTON AVE, HIGHLAND PARK, MI 48203(313) 757-0721 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Second Chance 2000 Inc. NPPES

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

SECOND CHANCE 2000 INC. (NPI 1487345799) is a healthcare organization registered as a peer specialist in Highland Park, Michigan and active in the NPI registry since May 2023. The organization lists Carl Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1487345799
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameSECOND CHANCE 2000 INC.
Location Address12840 HAMILTON AVEHighland Park, MI 48203-3588
Mailing Address16130 Littlefield StDetroit, MI 48235-4224 · (313) 449-6644
Organization SubpartNo
Authorized OfficialCarl WilliamsExecutive Director · (313) 449-6644
Enumeration DateMay 17, 2023
NPPES CertifiedMay 4, 2023
NPI 1487345799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedPrivate VehicleTaxonomy 347C00000X
12840 HAMILTON AVE, Highland Park, MI 48203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
12840 HAMILTON AVE
HIGHLAND PARK, MI 48203

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 2000 Inc.'s NPI number?

The NPI number for Second Chance 2000 Inc. is 1487345799. It was assigned to this organization in the NPPES registry on May 17, 2023.

Where is Second Chance 2000 Inc. located?

Second Chance 2000 Inc. is located at 12840 Hamilton Ave, Highland Park, MI 48203. The listed phone number is (313) 757-0721.

What is Second Chance 2000 Inc.'s specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Second Chance 2000 Inc. was last updated on May 17, 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.