Provider Demographics
NPI:1336390509
Name:NEW HOPE BEHAVIORAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NEW HOPE BEHAVIORAL HEALTH SERVICES, INC.
Other - Org Name:NEW HOPE RESIDENTIAL SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DION
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-945-9212
Mailing Address - Street 1:PO BOX 2682
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-2682
Mailing Address - Country:US
Mailing Address - Phone:252-945-9212
Mailing Address - Fax:
Practice Address - Street 1:675 NC 171 N
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-8173
Practice Address - Country:US
Practice Address - Phone:252-945-9212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251B00000XAgenciesCase Management