H.o.p.e.

NPI #1235461773 in Fountain, Florida

Provider Information

NPI Number: 1235461773
Entity Type: Organization
Organization Name: H.o.p.e.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Feb 9, 2010
Last Updated: Feb 9, 2010

Practice Location

Address: 11712 VANDOREN LN
City: Fountain
State: Florida
ZIP Code: 32438-5262
Phone: (850) 722-6117

Authorized Official

Name: MR. LARRY MARLIN KIRKLAND, M.S., L.M.H.C.
Title: CLINICAL DIRECTOR
Phone: (850) 643-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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