OrganizationActive
2nd Chance Rediscovery
NPI 1629704184 · Community/Behavioral Health Agency · Bishop, CA
Provider details
- NPI number
- 1629704184
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Sinfulxvanity Art and Design LLC
- Organization subpart
- Yes
- Authorized official
- Kaitlin Crom, Executive Director(714) 478-2044
Specialties & taxonomies
Agencies
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
- Graphics Designer1744G0900X
Other Service Providers
Practice location
1851 Shoshone Dr
Bishop, CA 93514-8115
Phone: (171) 447-8204
Approximate (ZIP-level) locationGet directions
Mailing address
1851 Shoshone Dr
Bishop, CA 93514-8115
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-07-27
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.