=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346718921
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW OPPORTUNITIES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2018
-----------------------------------------------------
Last Update Date | 11/13/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 232 N ELM ST
-----------------------------------------------------
City | WATERBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06702-1516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-575-4238
-----------------------------------------------------
Fax | 203-755-8254
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 232 N ELM ST
-----------------------------------------------------
City | WATERBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06702-1516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-575-4238
-----------------------------------------------------
Fax | 203-755-8254
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | JAMES GATLING
-----------------------------------------------------
Credential | PHD.
-----------------------------------------------------
Telephone | 203-575-4238
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------