Provider Demographics
NPI:1659088284
Name:NEW CHOICE INTERVENTION, INC.
Entity Type:Organization
Organization Name:NEW CHOICE INTERVENTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:708-566-1768
Mailing Address - Street 1:850 BURNHAM AVE
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-4707
Mailing Address - Country:US
Mailing Address - Phone:708-360-3535
Mailing Address - Fax:708-360-3539
Practice Address - Street 1:850 BURNHAM AVE
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-4707
Practice Address - Country:US
Practice Address - Phone:708-360-3535
Practice Address - Fax:708-360-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)