Organization
NEW HOPE COMMUNITY SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA J GOLDEN MHS/MAC/CAADC/MAATP (EXECUTIVE DIRECTOR)
(773) 737-9555
Entity
Organization
Contact information
Practice address
2559 W 79TH ST, CHICAGO, IL 60652-1751
(773) 737-9555
(773) 737-0401
Mailing address
2559 W 79TH ST, CHICAGO, IL 60652-1751
(773) 737-9555
(773) 737-0401
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/25/2017
Last updated
09/25/2024
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