Organization
RENEWED HOPE COMMUNITY SERVICES INC.
Active
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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