MEDICARE: NEW HOPE DRUG AND ALCOHOL TREATMENT, INC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	190504AN	CA

General Provider Information

NPI Number	:	1417082025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE DRUG AND ALCOHOL TREATMENT, INC

Provider Business Mailing Address
First Line	:	1841 W IMPERIAL HWY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-5021
Country	:	US
Telephone Number	:	323-750-2850
Fax Number	:	323-750-0851

Provider Business Practice Location Address
First Line	:	1841 AND 1841 1/2 WEST IMPERIAL HIGHWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047
Country	:	US
Telephone Number	:	323-750-2850
Fax Number	:	323-750-0851

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	WILLIAM A AKINWUMI
Credential	:
Telephone Number	:	323-750-2850

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	01/22/2010

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