# 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:** 1568691921
- **Legal business name:** NEW OUTLOOK..SECOND CHANCE, INC.
- **Authorized official:** MS. BETHENA M JACKSON BA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 682-4771

## Contact information

- **Practice address:** 4801 E INDEPENDENCE BLVD, SUITE 501, CHARLOTTE, NC 28212-5400
- **Practice address phone:** (980) 226-5528
- **Mailing address:** 331 W MAIN ST, SUITE 302-306, DURHAM, NC 27701-3232
- **Mailing address phone:** (919) 682-4771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2009
- **Last updated:** 07/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8302362B | — | NC |
| 05 | — | 8302362G | — | NC |
| 05 | — | 8700391 | — | NC |