Provider Demographics
NPI:1023394780
Name:HOPE LINK, INC.
Entity Type:Organization
Organization Name:HOPE LINK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RADWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-559-1990
Mailing Address - Street 1:18315 QUEENSBURY DR
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3969
Mailing Address - Country:US
Mailing Address - Phone:248-559-1990
Mailing Address - Fax:
Practice Address - Street 1:18315 QUEENSBURY DR
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3969
Practice Address - Country:US
Practice Address - Phone:248-559-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)