Provider Demographics
NPI:1356622237
Name:NEW HOPE CDU, LLC
Entity type:Organization
Organization Name:NEW HOPE CDU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:ARLETA
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, LADC-US
Authorized Official - Phone:580-477-2871
Mailing Address - Street 1:820 N PARK LN
Mailing Address - Street 2:
Mailing Address - City:ALTUS
Mailing Address - State:OK
Mailing Address - Zip Code:73521-4518
Mailing Address - Country:US
Mailing Address - Phone:580-477-2871
Mailing Address - Fax:580-477-4870
Practice Address - Street 1:820 N PARK LN
Practice Address - Street 2:
Practice Address - City:ALTUS
Practice Address - State:OK
Practice Address - Zip Code:73521-4518
Practice Address - Country:US
Practice Address - Phone:580-477-2871
Practice Address - Fax:580-477-4870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility