New Outlook..Second Chance, Inc.

LBN: New Outlook..Second Chance, Inc.
New Outlook..Second Chance, Inc. is an health care organization with primary practice located at 2604 Carver St Suite C, Durham NC 27705-2796. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. New Outlook..Second Chance, Inc. can be contacted via phone (919) 682-4771, or through Jackson, Bethena M via phone (919) 682-4771.

Contact Information

Primary practice address
2604 Carver St Suite C Durham NC 27705-2796
Phone: (919) 682-4771
Fax: (919) 683-2641
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Bethena M BA, CSAC
Phone: (919) 682-4771

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MHL-032-506 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1518299791
LBN Legal business name New Outlook..Second Chance, Inc.
DBA Doing business as
Authorized official Jackson, Bethena M BA, CSAC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2010
Last updated Aug 29th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518299791 NPPES
North Carolina MEDICAID 8302362B
North Carolina MEDICAID 8302362Q
North Carolina MEDICAID 8302703B
North Carolina MEDICAID 8302703G
North Carolina MEDICAID 8302362G
North Carolina MEDICAID 8700391

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