Provider Demographics
NPI:1518372689
Name:CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Entity Type:Organization
Organization Name:CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT, FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHER
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCCA
Authorized Official - Phone:806-897-9735
Mailing Address - Street 1:518 AVENUE H
Mailing Address - Street 2:
Mailing Address - City:LEVELLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79336-3727
Mailing Address - Country:US
Mailing Address - Phone:806-897-9735
Mailing Address - Fax:806-568-2316
Practice Address - Street 1:901 AVENUE B
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3313
Practice Address - Country:US
Practice Address - Phone:806-897-9735
Practice Address - Fax:806-568-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1423046283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital