Provider Demographics
NPI:1154065597
Name:REESTABLISHING HOPE INC
Entity type:Organization
Organization Name:REESTABLISHING HOPE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD MSW LCSW, CADC,
Authorized Official - Phone:708-864-1684
Mailing Address - Street 1:524 W RIDGE RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-2747
Mailing Address - Country:US
Mailing Address - Phone:708-864-1684
Mailing Address - Fax:
Practice Address - Street 1:524 W RIDGE RD UNIT 2
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-2747
Practice Address - Country:US
Practice Address - Phone:815-418-6577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REESTABLISHING HOPE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-22
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)