Provider Demographics
NPI:1710349717
Name:HOPE FAMILY RESOURCES
Entity Type:Organization
Organization Name:HOPE FAMILY RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BCBA, SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LLMSW, BCBA
Authorized Official - Phone:989-284-7318
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48615-0334
Mailing Address - Country:US
Mailing Address - Phone:989-284-7318
Mailing Address - Fax:
Practice Address - Street 1:4511 S MAGRUDDER RD
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:MI
Practice Address - Zip Code:48615-9633
Practice Address - Country:US
Practice Address - Phone:989-284-7318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1-15-21286251S00000X
MI6801095830251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health