Basic Information
| Provider Information | |||||||||
| NPI: | 1902467913 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW HOPE TREATMENT CENTER OF TENNESSEE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3523 PELHAM RD STE C | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296154191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645271250 | ||||||||
| FaxNumber: | 8642032066 | ||||||||
| Practice Location | |||||||||
| Address1: | 135 FOX AND HOUND WAY | ||||||||
| Address2: | |||||||||
| City: | NEWPORT | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378218074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4235328105 | ||||||||
| FaxNumber: | 4235328112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2019 | ||||||||
| LastUpdateDate: | 05/03/2022 | ||||||||
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| AuthorizedOfficialLastName: | BAILLEY | ||||||||
| AuthorizedOfficialFirstName: | JOY | ||||||||
| AuthorizedOfficialMiddleName: | LOUISE | ||||||||
| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 8645271250 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2800X | N | Ambulatory Health Care Facilities | Clinic/Center | Methadone Clinic | 261QR0405X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
No ID Information.