Provider Demographics
NPI:1649833963
Name:HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC
Entity type:Organization
Organization Name:HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IESHA
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSENBORO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LGPC
Authorized Official - Phone:240-435-3429
Mailing Address - Street 1:11288 BURBERRY ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3187
Mailing Address - Country:US
Mailing Address - Phone:240-435-3429
Mailing Address - Fax:
Practice Address - Street 1:11288 BURBERRY ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3187
Practice Address - Country:US
Practice Address - Phone:240-435-3429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)