Provider Demographics
NPI:1851613509
Name:NEW OUTLOOKS ADULT DAY SERVICES, INC.
Entity Type:Organization
Organization Name:NEW OUTLOOKS ADULT DAY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-732-8002
Mailing Address - Street 1:4197 HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MS
Mailing Address - Zip Code:39117-3306
Mailing Address - Country:US
Mailing Address - Phone:601-732-8002
Mailing Address - Fax:
Practice Address - Street 1:4197 HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117-3306
Practice Address - Country:US
Practice Address - Phone:601-732-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00389569Medicaid