MEDICARE: NEW HOPE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1619798485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE CENTER LLC

Provider Business Mailing Address
First Line	:	2 WALDEN CT
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-3573
Country	:	US
Telephone Number	:	732-241-1960
Fax Number	:	866-598-4096

Provider Business Practice Location Address
First Line	:	21 KILMER DR STE D
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751-1568
Country	:	US
Telephone Number	:	732-440-8185
Fax Number	:	866-598-4096

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	CONNIE LYNN DODSON
Credential	:
Telephone Number	:	830-428-1570

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	12/09/2025

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Directions to “NEW HOPE CENTER LLC ” Practice Location

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