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Second Chance Addiction Care LLC

Substance Abuse Rehabilitation Facility in Rockville, MD · enumerated 2024 · authorized official Jessie Costley, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629835236

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Registry record

Entity type Organization (Type 2)
Legal business name Second Chance Addiction Care LLC
Parent organization Second Chance Addiction Care LLC
Practice address 401 E Jefferson St Ste 203, Rockville, MD, 20850
Phone (301) 983-5130
Fax (855) 270-6701
Enumeration date Feb 29, 2024
Last updated in NPPES Jun 25, 2024

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Jessie Costley
Title Credentialing Manager
Phone (443) 839-6928

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Second Chance Addiction Care LLC located?
The practice location on file with NPPES is in Rockville, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-25.