MEDICARE: THE CONNECTS SECOND CHANCE FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1538026331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CONNECTS SECOND CHANCE FOUNDATION

Provider Business Mailing Address
First Line	:	812 W BROWN ST APT A
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-3556
Country	:	US
Telephone Number	:	602-743-0460
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 W BROWN ST APT A
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-3556
Country	:	US
Telephone Number	:	602-743-0460
Fax Number	:

Authorized Official
Title or Position	:	OWNER OPERATOR
Name	:	BRENNAN NEAL COOK
Credential	:
Telephone Number	:	480-977-8042

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “THE CONNECTS SECOND CHANCE FOUNDATION ” Practice Location

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