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Organization
PATH OF HOPE, INC
Active
Organization
PATH OF HOPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BANTHER MHDL, LCAS, CCS (EXECUTIVE DIRECTOR)
(336) 248-8914
Entity
Organization
Contact information
Practice address
1675 E CENTER STREET EXT, LEXINGTON, NC 27292-1308
(336) 248-8914
(336) 248-2138
Mailing address
1675 E CENTER STREET EXT, LEXINGTON, NC 27292-1308
(336) 248-8914
(336) 248-2138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
MHL-029-006
NC
324500000X
Substance Abuse Rehabilitation Facility
MHL-029-007
NC
324500000X
Substance Abuse Rehabilitation Facility
MHL-029-114
NC
Other
Enumeration date
01/25/2007
Last updated
07/27/2021
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