Provider Demographics
NPI:1598766347
Name:NEW HOPE CLINIC
Entity Type:Organization
Organization Name:NEW HOPE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:HERMAN
Authorized Official - Last Name:ARFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-556-0960
Mailing Address - Street 1:518 BANK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WALLACE
Mailing Address - State:ID
Mailing Address - Zip Code:83873-2225
Mailing Address - Country:US
Mailing Address - Phone:208-556-0960
Mailing Address - Fax:208-556-0970
Practice Address - Street 1:518 BANK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WALLACE
Practice Address - State:ID
Practice Address - Zip Code:83873-2225
Practice Address - Country:US
Practice Address - Phone:208-556-0960
Practice Address - Fax:208-556-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010144544OtherREGENCE
ID000010144544OtherREGENCE