Provider Demographics
NPI:1407197353
Name:CIRCLE OF HOPE THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:CIRCLE OF HOPE THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAMDIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-793-6410
Mailing Address - Street 1:15251 COLONY PL APT 209
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-4959
Mailing Address - Country:US
Mailing Address - Phone:919-793-6410
Mailing Address - Fax:
Practice Address - Street 1:15251 COLONY PL APT 209
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-4959
Practice Address - Country:US
Practice Address - Phone:919-793-6410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health