Organization
HOUSE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEL JEAN JOHNSIN ME (OWNER DIRECTOR)
(602) 770-3634
Entity
Organization
Contact information
Practice address
5814 S 11TH ST, PHOENIX, AZ 85040-3177
(602) 770-3634
Mailing address
5814 S 11TH ST, PHOENIX, AZ 85040-3177
(602) 770-3634
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH3487
AZ
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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