# HOUSE OF HOPE

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

## Provider details

- **NPI number:** 1619299054
- **Authorized official:** CHANEL JEAN JOHNSIN ME (OWNER DIRECTOR)
- **Authorized official phone:** (602) 770-3634

## Contact information

- **Practice address:** 5814 S 11TH ST, PHOENIX, AZ 85040-3177
- **Practice address phone:** (602) 770-3634
- **Mailing address:** 5814 S 11TH ST, PHOENIX, AZ 85040-3177
- **Mailing address phone:** (602) 770-3634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH3487 | AZ | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 02/26/2010