Provider Demographics
NPI:1457592560
Name:NEW HOPE MANOR, INC
Entity Type:Organization
Organization Name:NEW HOPE MANOR, INC
Other - Org Name:NEW HOPE BEHAVIORAL AND SUBSTANCE ABUSE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:FASANO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:860-643-2701
Mailing Address - Street 1:20 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5973
Mailing Address - Country:US
Mailing Address - Phone:860-643-2701
Mailing Address - Fax:860-647-8383
Practice Address - Street 1:935 MAIN ST
Practice Address - Street 2:SUITE 303
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6059
Practice Address - Country:US
Practice Address - Phone:860-643-2701
Practice Address - Fax:860-647-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health