# THE H.O.P.E. PROGRAM

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

## Provider details

- **NPI number:** 1114030194
- **Authorized official:** ROXANNE MARTIN (ADMINISTRATOR)
- **Authorized official phone:** (850) 722-0557

## Contact information

- **Practice address:** 11712 VANDOREN LN, FOUNTAIN, FL 32438-5262
- **Practice address phone:** (850) 722-0557
- **Practice address fax:** (850) 722-9559
- **Mailing address:** 11712 VANDOREN LN, FOUNTAIN, FL 32438-5262
- **Mailing address phone:** (850) 722-0557
- **Mailing address fax:** (850) 722-9559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020
