Provider Demographics
NPI:1649994419
Name:NEW HOPE AUTISM CENTER LLC
Entity type:Organization
Organization Name:NEW HOPE AUTISM CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALWA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-353-8789
Mailing Address - Street 1:3200 GREENFIELD RD
Mailing Address - Street 2:STE 300 - #3039
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3200 GREENFIELD RD
Practice Address - Street 2:STE 300 - #3039
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1805
Practice Address - Country:US
Practice Address - Phone:734-353-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty