Organization
THE HOPE IN YOU PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLISSA NEWTON (PRESIDENT/CEO)
(772) 333-0728
Entity
Organization
Contact information
Practice address
2081 SW KASIM TER, PORT SAINT LUCIE, FL 34953-2163
(772) 333-0728
Mailing address
2081 SW KASIM TER, PORT SAINT LUCIE, FL 34953-2163
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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