Provider Demographics
NPI:1598976045
Name:HOPE TREE INC
Entity Type:Organization
Organization Name:HOPE TREE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCNIFF
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:208-234-4673
Mailing Address - Street 1:109 N ARTHUR AVE
Mailing Address - Street 2:203
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83204-3105
Mailing Address - Country:US
Mailing Address - Phone:208-234-4673
Mailing Address - Fax:208-234-4677
Practice Address - Street 1:109 N ARTHUR AVE
Practice Address - Street 2:203
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83204-3105
Practice Address - Country:US
Practice Address - Phone:208-234-4673
Practice Address - Fax:208-234-4677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health