Second Chance Resource Center
NPI 1043079536ActiveOrganization· Voluntary or Charitable· Baltimore, MD
Voluntary or Charitable in Baltimore, Maryland, registered in NPPES in March 2024. The authorized official on file is Tonya Hicks, Executive Director.
Overview
| NPI | 1043079536 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2024 |
| Last updated in NPPES | Apr 1, 2024 |
| Certified by provider | Apr 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Voluntary or Charitable Primary | 251V00000X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Air Carrier | 344800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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