Provider Demographics
NPI:1114286465
Name:RESOURCES OF ENDURING HOPE OUTREACH PROGRAMS AND EDUCATION, INC.
Entity Type:Organization
Organization Name:RESOURCES OF ENDURING HOPE OUTREACH PROGRAMS AND EDUCATION, INC.
Other - Org Name:GIRLS/GUYS OFF DRUGS PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:MA-PSY, LICDC, SWA
Authorized Official - Phone:937-754-0528
Mailing Address - Street 1:1443 STEINER AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3813
Mailing Address - Country:US
Mailing Address - Phone:937-754-0528
Mailing Address - Fax:
Practice Address - Street 1:1443 STEINER AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3813
Practice Address - Country:US
Practice Address - Phone:937-754-0528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101Y00000X, 101YA0400X, 101YP1600X, 101YP2500X, 251B00000X, 251S00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or CharitableGroup - Multi-Specialty