Provider Demographics
NPI:1508040262
Name:BOKKER ENTERPRISES, INC.
Entity Type:Organization
Organization Name:BOKKER ENTERPRISES, INC.
Other - Org Name:HOPE BEHAVIORAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LON PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOKKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:870-856-3337
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:72525-0176
Mailing Address - Country:US
Mailing Address - Phone:870-856-3337
Mailing Address - Fax:870-856-3334
Practice Address - Street 1:2012 HWY 62-412
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:AR
Practice Address - Zip Code:72542-9477
Practice Address - Country:US
Practice Address - Phone:870-856-3337
Practice Address - Fax:870-856-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health