Provider Demographics
NPI:1043754872
Name:PROJECT H.O.P.E., INC.
Entity Type:Organization
Organization Name:PROJECT H.O.P.E., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW, RN
Authorized Official - Phone:856-541-6092
Mailing Address - Street 1:519-525 WEST STREET
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3529
Mailing Address - Country:US
Mailing Address - Phone:856-541-6092
Mailing Address - Fax:856-541-6097
Practice Address - Street 1:510 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-1112
Practice Address - Country:US
Practice Address - Phone:856-541-6092
Practice Address - Fax:856-541-6097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)