Organization
MARIE'S HOUSE OF HOPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN ALONZO MCDONALD CMS, QMHS (EXECUTIVE DIRECTOR)
(937) 305-5119
Entity
Organization
Contact information
Practice address
332 LINWOOD ST, DAYTON, OH 45405-4918
(937) 529-4996
(937) 529-4999
Mailing address
PO BOX 219, DAYTON, OH 45405-0219
(937) 305-5119
(937) 529-4999
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/22/2020
Last updated
04/17/2025
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