# HOPE HAVEN RECOVERY AND CARE

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

## Provider details

- **NPI number:** 1477329860
- **Authorized official:** REDEATE LAKEW (PRESIDENT)
- **Authorized official phone:** (972) 904-0057

## Contact information

- **Practice address:** 9535 FOREST LN STE 119A, DALLAS, TX 75243-5900
- **Practice address phone:** (972) 904-0057
- **Mailing address:** 9535 FOREST LN STE 119A, DALLAS, TX 75243-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023