ANOTHER CHANCE CUSTOMIZE SERVICES INC.
NPI 1639452105
Community/Behavioral Health in Decatur, GA

Active since September 21, 2011
2412 PARK CENTRAL BLVD, DECATUR, GA 30035(678) 518-1823 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Another Chance Customize Services Inc. NPPES

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

ANOTHER CHANCE CUSTOMIZE SERVICES INC. (NPI 1639452105) is a healthcare organization registered as a community/behavioral health in Decatur, Georgia and active in the NPI registry since September 2011. The organization lists Mang N Ndukwe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639452105
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameANOTHER CHANCE CUSTOMIZE SERVICES INC.
Location Address2412 PARK CENTRAL BLVDDecatur, GA 30035-3901
Mailing Address2412 Park Central BlvdDecatur, GA 30035-3901 · (678) 518-1823
Organization SubpartNo
Authorized OfficialMang N NdukweCeo · (678) 518-1823
Enumeration DateSeptember 21, 2011
NPI 1639452105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in GA · 044-R-0675
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.
2412 PARK CENTRAL BLVD, Decatur, GA 30035

Other Identifiers 1

Medicaid690760120 B, C, D, EGA

Other Providers at the Same Location NPPES

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

Community/Behavioral Health
2412 PARK CENTRAL BLVD
DECATUR, GA 30035

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 Another Chance Customize Services Inc.'s NPI number?

The NPI number for Another Chance Customize Services Inc. is 1639452105. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Another Chance Customize Services Inc. located?

Another Chance Customize Services Inc. is located at 2412 Park Central Blvd, Decatur, GA 30035. The listed phone number is (678) 518-1823.

What is Another Chance Customize Services 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 Another Chance Customize Services Inc. was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.