Provider Demographics
NPI:1073747549
Name:HOPEWELL
Entity Type:Organization
Organization Name:HOPEWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-426-2000
Mailing Address - Street 1:9637 STATE ROUTE 534
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-9516
Mailing Address - Country:US
Mailing Address - Phone:440-426-2000
Mailing Address - Fax:440-426-2002
Practice Address - Street 1:9637 STATE ROUTE 534
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9516
Practice Address - Country:US
Practice Address - Phone:440-426-2000
Practice Address - Fax:440-426-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health