Provider Demographics
NPI:1457762650
Name:BIT OF HOPE RANCH, INC
Entity Type:Organization
Organization Name:BIT OF HOPE RANCH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEG
Authorized Official - Middle Name:FICKLING
Authorized Official - Last Name:VANDERBILT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-862-0095
Mailing Address - Street 1:5001 CR WOOD RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8919
Mailing Address - Country:US
Mailing Address - Phone:704-862-0095
Mailing Address - Fax:
Practice Address - Street 1:5001 CR WOOD RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8919
Practice Address - Country:US
Practice Address - Phone:704-862-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-11
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251V00000XAgenciesVoluntary or Charitable