Provider Demographics
NPI:1851712806
Name:NEW OUTLOOK BEHAVIORAL HEALTH CENTER
Entity Type:Organization
Organization Name:NEW OUTLOOK BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHEVELLE
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:504-344-8293
Mailing Address - Street 1:1661 MILTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-2451
Mailing Address - Country:US
Mailing Address - Phone:504-344-8293
Mailing Address - Fax:504-872-0329
Practice Address - Street 1:200 S BROAD ST
Practice Address - Street 2:SUITE 8A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6447
Practice Address - Country:US
Practice Address - Phone:504-344-8293
Practice Address - Fax:504-872-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health