Provider Demographics
NPI:1023839396
Name:COMMUNITY OF HOPE
Entity type:Organization
Organization Name:COMMUNITY OF HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:602-473-1286
Mailing Address - Street 1:10700 N 85TH AVE # 184
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-6520
Mailing Address - Country:US
Mailing Address - Phone:602-473-1286
Mailing Address - Fax:
Practice Address - Street 1:10700 N 85TH AVE # 184
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6520
Practice Address - Country:US
Practice Address - Phone:602-473-1286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health