Provider Demographics
NPI:1720359524
Name:U HOPE CDC, INC.
Entity Type:Organization
Organization Name:U HOPE CDC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT-MALLORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-256-1570
Mailing Address - Street 1:1110 HOPE RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-2920
Mailing Address - Country:US
Mailing Address - Phone:678-277-9862
Mailing Address - Fax:678-277-8646
Practice Address - Street 1:1110 HOPE RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-2920
Practice Address - Country:US
Practice Address - Phone:678-277-9862
Practice Address - Fax:678-277-8646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health