| New Outlook..second Chance, Inc. | |
|
1005 Broad St Durham NC 27705-4143 | |
| (919) 885-2566 | |
| (919) 794-8171 |
| Full Name | New Outlook..second Chance, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1005 Broad St, Durham, North Carolina |
| Authorized Official Name and Position | Bethena Meshel Jackson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9198852566 |
| 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) 885-2566 | New Outlook..second Chance, Inc. 1005 Broad St Durham NC 27705-4143 Ph: (919) 885-2566 |
| NPI Number | 1609039858 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609039858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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