Provider Demographics
NPI:1881050151
Name:HOPEWELL COMMUNITY SERVICES LLC
Entity type:Organization
Organization Name:HOPEWELL COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HERDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-755-9411
Mailing Address - Street 1:901 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NITRO
Mailing Address - State:WV
Mailing Address - Zip Code:25143-1911
Mailing Address - Country:US
Mailing Address - Phone:304-755-9411
Mailing Address - Fax:304-755-9412
Practice Address - Street 1:901 9TH ST
Practice Address - Street 2:
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-1911
Practice Address - Country:US
Practice Address - Phone:304-755-9411
Practice Address - Fax:304-755-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-02
Last Update Date:2016-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health