Provider Demographics
NPI:1831377811
Name:FAITH HOPE & LOVE COMMUNITY ENRICHMENT MINISTRIES
Entity type:Organization
Organization Name:FAITH HOPE & LOVE COMMUNITY ENRICHMENT MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-777-7285
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28053-0016
Mailing Address - Country:US
Mailing Address - Phone:704-840-5527
Mailing Address - Fax:704-852-3807
Practice Address - Street 1:829 SMYRE DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0246
Practice Address - Country:US
Practice Address - Phone:704-777-7285
Practice Address - Fax:704-852-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility