Provider Demographics
NPI:1811744337
Name:HOPE FAMILY SERVICES
Entity type:Organization
Organization Name:HOPE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:DALI
Authorized Official - Last Name:CARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:201-772-8029
Mailing Address - Street 1:15 ALPINE PL
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-1607
Mailing Address - Country:US
Mailing Address - Phone:201-772-8029
Mailing Address - Fax:
Practice Address - Street 1:15 ALPINE PL
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-1607
Practice Address - Country:US
Practice Address - Phone:201-772-8029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health