Organization Name: | CHILDREN'S HOPE RESIDENTIAL SERVICES, INC. |
NPI Number: | 1710086822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES ALDRICH (EXECUTIVE DIRECTOR) |
Mailing Address: | 1313 W Washington St Levelland |
State: | TX US |
Postal Code: | 793363921 |
Phone Number: | 8068979735 |
Fax Number: | 8065680299 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 823046 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |