MEDICARE: NEW OUTCOMES WORKING P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1114377280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW OUTCOMES WORKING P.C.

Provider Business Mailing Address
First Line	:	38245 MOUND RD
Second Line	:	CENTER FOR HEALING ARTS, BUILDING E
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3466
Country	:	US
Telephone Number	:	586-268-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	38245 MOUND RD
Second Line	:	CENTER FOR HEALING ARTS, BUILDING E
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-3466
Country	:	US
Telephone Number	:	586-268-5444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VINCENT ANTHONY PITRE
Credential	:	LMSW
Telephone Number	:	586-268-5444

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	06/20/2016

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