Healthcare Provider Details

I. General information

NPI: 1083842801
Provider Name (Legal Business Name): NEW OUTLOOK SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 07/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 VALLEY RIDGE RD
CHARLOTTE NC
28214-8125
US

IV. Provider business mailing address

3920 KALISPELL LN
CHARLOTTE NC
28269-7926
US

V. Phone/Fax

Practice location:
  • Phone: 704-395-1783
  • Fax:
Mailing address:
  • Phone: 704-408-1962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. CINDY HINTON
Title or Position: PRESIDENT
Credential: RN
Phone: 704-408-1962