Provider Demographics
NPI:1457490435
Name:ERIE CITY MISSION - HOPE CENTER
Entity Type:Organization
Organization Name:ERIE CITY MISSION - HOPE CENTER
Other - Org Name:HOPE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HOPE CENTER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURNOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MED NCC,LPC,BCPC
Authorized Official - Phone:814-452-4421
Mailing Address - Street 1:1017 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2003
Mailing Address - Country:US
Mailing Address - Phone:814-452-4421
Mailing Address - Fax:814-455-8825
Practice Address - Street 1:1017 FRENCH ST.
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2003
Practice Address - Country:US
Practice Address - Phone:814-452-4421
Practice Address - Fax:814-455-8825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA257075324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility