Provider Demographics
NPI:1609814268
Name:MERCHANTS OF HOPE CHARITIES, INC.
Entity Type:Organization
Organization Name:MERCHANTS OF HOPE CHARITIES, INC.
Other - Org Name:MERCAHNTS OF HOPE COMMUNITY MENTAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:CHINA
Authorized Official - Last Name:EJIRIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-386-7556
Mailing Address - Street 1:2406 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2005
Mailing Address - Country:US
Mailing Address - Phone:512-386-7556
Mailing Address - Fax:512-386-7849
Practice Address - Street 1:2406 MANOR RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2005
Practice Address - Country:US
Practice Address - Phone:512-386-7556
Practice Address - Fax:512-386-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)