# MINISTRY FOR HOPE, INC. MONTFORT THERAPEUTIC RESIDENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073097531
- **Authorized official:** MR. CHARLES GERACE LCSW (PROGRAM DIRECTOR)
- **Authorized official phone:** (631) 928-5223

## Contact information

- **Practice address:** 100 STONYHILL ROAD, PORT JEFFERSON, NY 11777
- **Practice address phone:** (631) 928-5223
- **Practice address fax:** (631) 928-4466
- **Mailing address:** PO BOX 358, PORT JEFFERSON, NY 11777
- **Mailing address phone:** (631) 928-5223
- **Mailing address fax:** (631) 928-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2018
- **Last updated:** 09/20/2018