Healthcare Provider Details

I. General information

NPI: 1619798485
Provider Name (Legal Business Name): NEW HOPE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 KILMER DR STE D
MORGANVILLE NJ
07751-1568
US

IV. Provider business mailing address

2 WALDEN CT
OLD BRIDGE NJ
08857-3573
US

V. Phone/Fax

Practice location:
  • Phone: 732-440-8185
  • Fax: 866-598-4096
Mailing address:
  • Phone: 732-241-1960
  • Fax: 866-598-4096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CONNIE LYNN DODSON
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 830-428-1570