Provider Demographics
NPI:1609019678
Name:NEW HOPE FAMILY AND YOUTH SERVICES, LLC
Entity Type:Organization
Organization Name:NEW HOPE FAMILY AND YOUTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:252-287-9218
Mailing Address - Street 1:102 S. WEST RAILROAD ST.
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27823-1300
Mailing Address - Country:US
Mailing Address - Phone:252-287-9218
Mailing Address - Fax:252-537-4559
Practice Address - Street 1:102 S. WEST RAILROAD ST.
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NC
Practice Address - Zip Code:27823-1300
Practice Address - Country:US
Practice Address - Phone:252-287-9218
Practice Address - Fax:252-537-4559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health