Organization
HOPE STREET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WHITE (PRESIDENT OWNER)
(336) 375-5985
Entity
Organization
Contact information
Practice address
2007 LYNN RD, GREENSBORO, NC 27405-6519
(336) 375-5985
(336) 375-0253
Mailing address
2007 LYNN RD, GREENSBORO, NC 27405-6519
(336) 375-5985
(336) 375-0253
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603746
—
NC
Enumeration date
02/08/2007
Last updated
08/22/2020
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