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Organization

HOPE RESTORATION MINISTRIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. STEPHANIE LYNN BERT LAC (CHIEF OPERATING OFFICER)
(520) 304-3389
Entity
Organization

Contact information

Practice address
6114 S FONTANA AVENUE, TUCSON, AZ 85706-4044
(520) 261-0818
Mailing address
4214 W FIRETHORN ST, TUCSON, AZ 85741-4044
(520) 304-3389

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
07/16/2021
Last updated
07/16/2021
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