Provider Demographics
NPI:1770629552
Name:CHRISTIAN'S HOUSE OF HOPE, INC.
Entity Type:Organization
Organization Name:CHRISTIAN'S HOUSE OF HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-214-5379
Mailing Address - Street 1:25575 US HIGHWAY 421
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:NC
Mailing Address - Zip Code:28478-7367
Mailing Address - Country:US
Mailing Address - Phone:910-214-5379
Mailing Address - Fax:910-532-6410
Practice Address - Street 1:57 MOSES NEWTON LN
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:NC
Practice Address - Zip Code:28478-6417
Practice Address - Country:US
Practice Address - Phone:910-532-6591
Practice Address - Fax:910-532-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-082-062320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness