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Organization

A PLACE OF HOPE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERI ALDRIDGE (PROGRAM SPECIALIST)
(937) 222-5680
Entity
Organization

Contact information

Practice address
405 W 1ST ST, DAYTON, OH 45402-3007
(937) 266-5072
Mailing address
405 W 1ST ST, DAYTON, OH 45402-3007
(937) 266-5072

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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