Healthcare Provider Details

I. General information

NPI: 1538026331
Provider Name (Legal Business Name): THE CONNECTS SECOND CHANCE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 W BROWN ST APT A
TEMPE AZ
85281-3556
US

IV. Provider business mailing address

812 W BROWN ST APT A
TEMPE AZ
85281-3556
US

V. Phone/Fax

Practice location:
  • Phone: 602-743-0460
  • Fax:
Mailing address:
  • Phone: 602-743-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENNAN NEAL COOK
Title or Position: OWNER OPERATOR
Credential:
Phone: 480-977-8042