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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us