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SECOND CHANCE ASHLAND CENTER
NPI 1821290537
Community/Behavioral Health in San Leandro, CA

Active since June 04, 2007
1403 164TH AVE, SAN LEANDRO, CA 94578(510) 481-8645(510) 481-2413 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 Ashland Center NPPES

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

SECOND CHANCE ASHLAND CENTER (NPI 1821290537) is a healthcare organization registered as a community/behavioral health in San Leandro, 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

NPI1821290537
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSECOND CHANCE ASHLAND CENTER
Location Address1403 164TH AVESan Leandro, CA 94578-3123
Mailing Address1403 164th AveSan Leandro, CA 94578-3123 · (510) 481-8645 · Fax (510) 481-2413
Phone(510) 481-8645
Fax(510) 481-2413
Organization SubpartNo
Authorized OfficialMark R McconvilleExecutive Director · (510) 792-4357
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821290537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 0119
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.
1403 164TH AVE, San Leandro, CA 94578
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Other Providers at the Same Location NPPES 14

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

TAMARA MAXINE WATKINS
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 792-4357
PATRICIA ELLEN MILHEISER
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645
TYRONE KILSON
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645
BEVERLY WILLIAMS-DAVIS
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645
MR. MAURICE LEMON SR. M-RAS, CSC, NCAC I
Case Manager/Care Coordinator
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 276-7884
ANN E ARMSTRONG
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645
BRETT FAGREY
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645
GWENDOLYN LOVE
Counselor (Addiction (Substance Use Disorder))
1403 164TH AVE
SAN LEANDRO, CA 94578
Alameda County (510) 481-8645

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 Ashland Center's NPI number?

The NPI number for Second Chance Ashland Center is 1821290537. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Second Chance Ashland Center located?

Second Chance Ashland Center is located at 1403 164th Ave, San Leandro, CA 94578. The listed phone number is (510) 481-8645.

What is Second Chance Ashland 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 Ashland 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.