Organization
DIVINE RECOVERY HOPE CLINIC INC. (DRHC)
Active
Other names
Divine Recovery Hope Clinic Inc. (DRHC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TITILAYO OLADIPUPO PHARMACIST (PRESIDENT)
(708) 407-0156
Entity
Organization
Contact information
Practice address
3936 W ROOSEVELT RD, CHICAGO, IL 60624-4389
(773) 828-6900
Mailing address
3936 W ROOSEVELT RD, CHICAGO, IL 60624-4389
(773) 828-6900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/19/2025
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