| New Outlook..second Chance, Inc. | |
|
2604 Carver St Suite C Durham NC 27705-2796 | |
| (919) 682-4771 | |
| (919) 683-2641 |
| Full Name | New Outlook..second Chance, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2604 Carver St, Durham, North Carolina |
| Authorized Official Name and Position | Bethena M Jackson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9196824771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Outlook..second Chance, Inc. Po Box 802 Durham NC 27702-0802 Ph: (919) 682-4771 | New Outlook..second Chance, Inc. 2604 Carver St Suite C Durham NC 27705-2796 Ph: (919) 682-4771 |
| NPI Number | 1518299791 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518299791 | NPI | - | NPPES |
| 8302362B | Medicaid | NC | |
| 8302362Q | Medicaid | NC | |
| 8302703B | Medicaid | NC | |
| 8302703G | Medicaid | NC | |
| 8302362G | Medicaid | NC | |
| 8700391 | Medicaid | NC |
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