Provider Demographics
NPI:1265140149
Name:HOPE HAVEN INTEGRATIVE HEALTH CORP
Entity type:Organization
Organization Name:HOPE HAVEN INTEGRATIVE HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DROUIN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:518-940-3399
Mailing Address - Street 1:128 HUTCHINS RD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-2735
Mailing Address - Country:US
Mailing Address - Phone:518-577-6060
Mailing Address - Fax:
Practice Address - Street 1:199 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:POULTNEY
Practice Address - State:VT
Practice Address - Zip Code:05764-4406
Practice Address - Country:US
Practice Address - Phone:518-940-3399
Practice Address - Fax:844-774-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care