Provider Demographics
NPI:1235312661
Name:NEW HOPE RESIDENTIAL
Entity Type:Organization
Organization Name:NEW HOPE RESIDENTIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAZEL
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-229-1473
Mailing Address - Street 1:235 WESTLAKE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-4863
Mailing Address - Country:US
Mailing Address - Phone:910-229-1473
Mailing Address - Fax:
Practice Address - Street 1:235 WESTLAKE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4863
Practice Address - Country:US
Practice Address - Phone:910-229-1473
Practice Address - Fax:910-864-4700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty