Provider Demographics
NPI:1508340647
Name:FOR HOPE'S SAKE, LLC
Entity Type:Organization
Organization Name:FOR HOPE'S SAKE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BEHAVIORAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-889-5265
Mailing Address - Street 1:717 PERTHSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2673
Mailing Address - Country:US
Mailing Address - Phone:443-889-5265
Mailing Address - Fax:
Practice Address - Street 1:3517 PELHAM AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1901
Practice Address - Country:US
Practice Address - Phone:443-889-5265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOR HOPE'S SAKE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility