Organization
VISIONS OF HOPE COMMUNITY SUPPORT SERVICES
Active
Organization
VISIONS OF HOPE COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUES ANTWAIN JOHNSON (CEO/PRESIDENT)
(919) 802-1577
Entity
Organization
Contact information
Practice address
2405 PAULA ST, 3, RALEIGH, NC 27608-1755
(919) 802-1577
Mailing address
2405 PAULA ST, 3, RALEIGH, NC 27608-1755
(919) 802-1577
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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