Provider Demographics
NPI:1376910760
Name:THERE IS HOPE, BEHAVIORAL MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:THERE IS HOPE, BEHAVIORAL MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ATEF
Authorized Official - Last Name:FAKHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:909-982-8100
Mailing Address - Street 1:299 W FOOTHILL BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3854
Mailing Address - Country:US
Mailing Address - Phone:909-982-8100
Mailing Address - Fax:909-982-1313
Practice Address - Street 1:299 W FOOTHILL BLVD STE 110
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3854
Practice Address - Country:US
Practice Address - Phone:909-982-8100
Practice Address - Fax:909-982-1313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health