OrganizationActive
2nd Chance 2 LLC
NPI 1053139790 · Community/Behavioral Health Agency · Winston Salem, NC
Provider details
- NPI number
- 1053139790
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Julian Belton, Owner/President(336) 575-7582
Specialties & taxonomies
Agencies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2704 Bon Air Ave
Winston Salem, NC 27105-4307
Phone: (336) 972-4487
Street-level locationGet directions
Mailing address
1856 Old Hollow Rd
Walkertown, NC 27051-9716
Other names (DBA / former)
- Other name
- 2nd Chance
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.