Provider Demographics
NPI:1881037190
Name:HOPE ON THE SPECTRUM
Entity Type:Organization
Organization Name:HOPE ON THE SPECTRUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-931-2146
Mailing Address - Street 1:2007 PONDEROSA TRL
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-3631
Mailing Address - Country:US
Mailing Address - Phone:972-414-6999
Mailing Address - Fax:972-414-6999
Practice Address - Street 1:2007 PONDEROSA TRL
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-3631
Practice Address - Country:US
Practice Address - Phone:972-414-6999
Practice Address - Fax:972-414-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health