Provider Demographics
NPI:1225204175
Name:CENTRE FOR NEW HOPE II LLC
Entity Type:Organization
Organization Name:CENTRE FOR NEW HOPE II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-201-0052
Mailing Address - Street 1:PO BOX 1435
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-3435
Mailing Address - Country:US
Mailing Address - Phone:919-484-1515
Mailing Address - Fax:919-484-7360
Practice Address - Street 1:101 E WEAVER ST STE G4
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2370
Practice Address - Country:US
Practice Address - Phone:919-484-1515
Practice Address - Fax:919-484-7360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health