Organization Name: | DE-BORAH'S HOPE HOUSE |
NPI Number: | 1689970956 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIAN ALSTON WALLACE (DIRECTOR) |
Mailing Address: | 3113 Mcconnell Rd Greensboro |
State: | NC US |
Postal Code: | 274059611 |
Phone Number: | 3362741988 |
Fax Number: | 3368342215 |
NPI Enumeration Date: | 02/04/2011 |
NPI Last Update Date: | 02/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | MHL-041-1005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |