Provider Demographics
NPI:1497156186
Name:RIVER OF HOPE
Entity Type:Organization
Organization Name:RIVER OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:MUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:717-274-3959
Mailing Address - Street 1:100 FORNEY RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-9344
Mailing Address - Country:US
Mailing Address - Phone:717-274-3950
Mailing Address - Fax:
Practice Address - Street 1:100 FORNEY RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-9344
Practice Address - Country:US
Practice Address - Phone:717-274-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000536106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty