Organization
H.O.P.E.
Active
Other names
H.O.P.E. Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MARLIN KIRKLAND M.S., L.M.H.C. (CLINICAL DIRECTOR)
(850) 643-4600
Entity
Organization
Contact information
Practice address
11712 VANDOREN LN, FOUNTAIN, FL 32438-5262
(850) 722-6117
(850) 722-8712
Mailing address
11712 VANDOREN LN, FOUNTAIN, FL 32438-5262
(850) 722-6117
(850) 722-8712
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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