Healthcare Provider Details
I. General information
NPI: 1205792595
Provider Name (Legal Business Name): SECOND CHANCE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 POTOMAC ST
AURORA CO
80011-8740
US
IV. Provider business mailing address
224 POTOMAC ST
AURORA CO
80011-8740
US
V. Phone/Fax
- Phone: 303-537-5838
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WHITNEY
LOVETT
Title or Position: DIRECTOR OF BEHAVIORAL HEALTH
Credential: LPC
Phone: 970-481-9040