Provider Demographics
NPI:1821564436
Name:BOKKER ENTERPRISES, INC.
Entity Type:Organization
Organization Name:BOKKER ENTERPRISES, INC.
Other - Org Name:HOPE BEHAVIORAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-257-3336
Mailing Address - Street 1:115 TURNER LANE, STE #2
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:AR
Mailing Address - Zip Code:72576
Mailing Address - Country:US
Mailing Address - Phone:870-384-1744
Mailing Address - Fax:870-384-1743
Practice Address - Street 1:115 TURNER LANE, STE #2
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:AR
Practice Address - Zip Code:72576
Practice Address - Country:US
Practice Address - Phone:870-384-1744
Practice Address - Fax:870-384-1743
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOKKER ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-22
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health