Organization
NEW OUTLOOK SECOND CHANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETHENA M JACKSON (EXECUTIVE DIRECTOR)
(919) 682-4771
Entity
Organization
Contact information
Practice address
331 W MAIN ST, SUITE 302-306, DURHAM, NC 27701-3232
(919) 682-4771
(919) 683-2641
Mailing address
331 W MAIN ST, SUITE 302-306, DURHAM, NC 27701-3232
(919) 682-4771
(919) 683-2641
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302362B
—
NC
05
—
8302362G
—
NC
Enumeration date
04/09/2009
Last updated
04/09/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up