# NEW OUTLOOK..SECOND CHANCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW OUTLOOK..SECOND CHANCE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518299791
- **Legal business name:** NEW OUTLOOK..SECOND CHANCE, INC.
- **Authorized official:** MS. BETHENA M JACKSON BA, CSAC (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 682-4771

## Contact information

- **Practice address:** 2604 CARVER ST, SUITE C, DURHAM, NC 27705-2796
- **Practice address phone:** (919) 682-4771
- **Practice address fax:** (919) 683-2641
- **Mailing address:** PO BOX 802, DURHAM, NC 27702-0802
- **Mailing address phone:** (919) 682-4771
- **Mailing address fax:** (919) 683-2641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL-032-506 | NC | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 08/29/2012