Provider Demographics
NPI:1164584033
Name:NEW HOPE RESIDENTIAL SERVICES,INC.
Entity Type:Organization
Organization Name:NEW HOPE RESIDENTIAL SERVICES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:GOODLETT
Authorized Official - Last Name:GAITHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-232-2785
Mailing Address - Street 1:204 PARTEE ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4049
Mailing Address - Country:US
Mailing Address - Phone:704-645-9900
Mailing Address - Fax:704-638-5778
Practice Address - Street 1:204 PARTEE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4049
Practice Address - Country:US
Practice Address - Phone:704-645-9900
Practice Address - Fax:704-638-5778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-080-132322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children