2ND CHANZS – NPI #1932515087
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

2ND CHANZS is a community based residential treatment facility located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1932515087 to 2ND CHANZS on July 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 2ND CHANZS below.

NPI Profile for
2ND CHANZS

NPI Number
1932515087
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
2ND CHANZS
Primary location
1214 E JEN DR
FLAGSTAFF, AZ 86001-0757
Phone: (623) 478-9400 Fax:
Mailing address
9950 W VAN BUREN ST
SUITE B135
AVONDALE, AZ 85323-5322
Phone: (623) 478-9400 Fax:
Organization Subpart
Yes - 2ND CHANZS is subpart of another organization.
Authorized Official
SEKOU JACKSON
EXECUTIVE DIRECTOR
Phone: (623) 478-9400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.