Provider Demographics
NPI:1205325131
Name:RESTORATION OF HOPE PROJECT
Entity type:Organization
Organization Name:RESTORATION OF HOPE PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, MSCJ
Authorized Official - Phone:417-942-0005
Mailing Address - Street 1:644 S SCENIC AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-5072
Mailing Address - Country:US
Mailing Address - Phone:417-942-0005
Mailing Address - Fax:417-942-5772
Practice Address - Street 1:1925 E BENNETT ST STE H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1425
Practice Address - Country:US
Practice Address - Phone:417-942-0005
Practice Address - Fax:417-942-5772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO500055152Medicaid