Organization
SOUTHSIDE BEHAVIORAL HEALTH - HOPE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH C ENGELHORN (EXECUTIVE DIRECTOR)
(434) 572-6916
Entity
Organization
Contact information
Practice address
154 CHARLOTTE AVE, LA CROSSE, VA 23950-1703
(434) 447-4008
(434) 447-4289
Mailing address
PO BOX 1478, 143 INDUSTRIAL PARKWAY, CLARKSVILLE, VA 23927-1478
(434) 572-6916
(434) 374-3321
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
03/02/2021
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