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Organization
NEW OUTLOOK..SECOND CHANCE, INC.
Active
Organization
NEW OUTLOOK..SECOND CHANCE, INC.
Active
Parent organization
NEW OUTLOOK..SECOND CHANCE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW OUTLOOK..SECOND CHANCE, INC.
Authorized official
MS. BETHENA M JACKOSN BA, CSAC (CHIEF EXECUTIVE OFFICER)
(919) 682-4771
Entity
Organization
Contact information
Practice address
976 MARTIN LUTHER KING JR BLVD, SUITE 206, CHAPEL HILL, NC 27514-2654
(919) 633-8360
(919) 683-2641
Mailing address
930 MARTIN LUTHER KING JR BLVD, SUITE 206, CHAPEL HILL, NC 27514-2656
(919) 633-8360
(919) 683-2641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302362B
—
NC
05
—
8302362G
—
NC
05
—
8302703B
—
NC
05
—
8302703G
—
NC
05
—
8700391
—
NC
Enumeration date
01/27/2010
Last updated
05/11/2010
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