Organization
SHADES OF HOPE LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAM BALCOMB (EXECUTIVE DIRECTOR)
(325) 572-3843
Entity
Organization
Contact information
Practice address
402-A MULBERRY ST, BUFFALO GAP, TX 79508
(325) 572-3843
(325) 572-3405
Mailing address
PO BOX 639, BUFFALO GAP, TX 79508-0639
(325) 572-3843
(325) 572-3405
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
549-A
TX
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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