Organization Name: | NEW HOPE BEHAVIORAL CENTER LLC |
NPI Number: | 1669809380 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI LAVELY (DIRECTOR) |
Mailing Address: | 204 8th St Unit B Dacono |
State: | CO US |
Postal Code: | 805149337 |
Phone Number: | 3038330840 |
Fax Number: | 3038339793 |
NPI Enumeration Date: | 09/27/2013 |
NPI Last Update Date: | 09/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 169301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |