Organization
RENEWED HOPE COMMUNITY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL IDOWU KUYE PH.D, LCSW, CRADC (EXEC. V/P OF OPERATIONS)
(773) 783-3579
Entity
Organization
Contact information
Practice address
626 E 71ST ST, CHICAGO, IL 60619-1212
(773) 783-3579
(773) 783-3592
Mailing address
626 E 71ST ST, CHICAGO, IL 60619-1212
(773) 783-3579
(773) 783-3592
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
A-3536-0001-A
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-3536-0001-A
IL
Other
Enumeration date
12/22/2014
Last updated
07/19/2017
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