Organization
HOPE ADVANCEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS CRAYTON (CEO)
(704) 956-3062
Entity
Organization
Contact information
Practice address
1105 E WENDOVER AVE, SUITE D, GREENSBORO, NC 27405-6774
(336) 272-9880
Mailing address
PO BOX 32892, CHARLOTTE, NC 28232-2892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008162
—
NC
05
—
6008357
—
NC
Enumeration date
01/09/2012
Last updated
01/11/2012
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