Organization2nd Chances LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address30 Maple Ave Ste B-2, Windsor, CT 06095-2922(860) 386-8024PECOS EnrollmentBased on the most recent information from CMS, provider 2nd Chances Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184227043Provider TypeOrganizationFull Name2nd Chances LlcSubpartNoEnumeration Date11/20/2020Last Updated11/20/2020Contact InformationPractice LocationPractice Address30 Maple Ave Ste B-2, Windsor, CT 06095-2922Phone(860) 386-8024Fax(800) 989-4601Mailing LocationMailing Address30 Maple Ave Ste B-2, Windsor, CT 06095-2922Phone(860) 386-8024Fax(800) 989-4601Authorized OfficialNameCampbell, Korin (Owner/Ceo)Phone(860) 386-8024Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode261QM0801XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer