Provider Demographics
NPI:1235829086
Name:PENNING FOR HOPE
Entity Type:Organization
Organization Name:PENNING FOR HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:774-404-4183
Mailing Address - Street 1:20 CORPORATE PARK DR STE 155
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-2057
Mailing Address - Country:US
Mailing Address - Phone:781-563-5240
Mailing Address - Fax:
Practice Address - Street 1:20 CORPORATE PARK DR STE 155
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-2057
Practice Address - Country:US
Practice Address - Phone:781-563-5240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty