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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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