Organization Name: | CHANCES OF HOPE ISL |
NPI Number: | 1992163083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHAD BROOKS (PRESIDENT) |
Mailing Address: | 1408 S College St Webb City |
State: | MO US |
Postal Code: | 648703022 |
Phone Number: | 4175404427 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |