Provider Demographics
NPI:1851932636
Name:FAITH AND HOPE BEHAVIOR HEALTH CLINTON
Entity Type:Organization
Organization Name:FAITH AND HOPE BEHAVIOR HEALTH CLINTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-381-8584
Mailing Address - Street 1:9508 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70722-3701
Mailing Address - Country:US
Mailing Address - Phone:225-683-3997
Mailing Address - Fax:
Practice Address - Street 1:9508 PLANK RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:LA
Practice Address - Zip Code:70722-3701
Practice Address - Country:US
Practice Address - Phone:225-683-3997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAITH AND HOPE BEHAVIOR HEALTH CLINTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health