Provider Demographics
NPI:1700453560
Name:GOOD HOPE RESOURCES INC
Entity Type:Organization
Organization Name:GOOD HOPE RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:GATHUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-413-5177
Mailing Address - Street 1:3395 E SILVERSMITH TRL
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-3362
Mailing Address - Country:US
Mailing Address - Phone:602-413-5177
Mailing Address - Fax:480-275-6429
Practice Address - Street 1:3395 E SILVERSMITH TRL
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-3362
Practice Address - Country:US
Practice Address - Phone:602-413-5177
Practice Address - Fax:480-275-6429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD HOPE RESOURCES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities