Provider Demographics
NPI:1912457524
Name:EDUCATIONAL HOPE CENTER
Entity Type:Organization
Organization Name:EDUCATIONAL HOPE CENTER
Other - Org Name:ED HOPE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBA-D
Authorized Official - Phone:860-315-0565
Mailing Address - Street 1:9 MOTT AVE.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850
Mailing Address - Country:US
Mailing Address - Phone:860-315-0565
Mailing Address - Fax:203-900-0699
Practice Address - Street 1:9 MOTT AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3330
Practice Address - Country:US
Practice Address - Phone:860-315-0565
Practice Address - Fax:203-900-0699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2562251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health