Provider Demographics
NPI:1295375673
Name:HOPE FOR RECOVERY INC
Entity Type:Organization
Organization Name:HOPE FOR RECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:D'AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:855-223-4673
Mailing Address - Street 1:15750 S BELL RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8420
Mailing Address - Country:US
Mailing Address - Phone:855-223-4673
Mailing Address - Fax:408-228-0891
Practice Address - Street 1:15750 S BELL RD STE 1A
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-8420
Practice Address - Country:US
Practice Address - Phone:855-223-4673
Practice Address - Fax:408-228-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health