| NPI | 1073023149 |
|---|---|
| Doing Business As | NEW AGE SERVICES CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ULYSSES JEROME JEFFERSON Patient Revenue Coordinator 773-542-1150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-0579-0001-A) |
| 101YP2500X Counselor, Professional (Licence: IL A-0579-0001-A) | |
| 103T00000X Psychologist (Licence: IL 16008) | |
| 104100000X Social Worker (Licence: IL 16008) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 16008) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IL A-0579-0001-A) | |
| 251S00000X (Licence: IL 16008) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 16008) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0579-0001-A) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2022-12-20 |