SECOND CHANCES CM, LLC

Clinic/Center

Code: 261Q00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Medical Specialty

Code: 261QM2500X

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

General Practice

Code: 208D00000X