Healthcare Provider Details

I. General information

NPI: 1508013814
Provider Name (Legal Business Name): DOOR TO HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 CHURCH ST
SALINAS CA
93901-2632
US

IV. Provider business mailing address

130 W GABILAN ST
SALINAS CA
93901-2762
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-8155
  • Fax: 831-422-9411
Mailing address:
  • Phone: 831-758-0181
  • Fax: 831-758-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number27BVSD, 27BV8
License Number StateCA

VIII. Authorized Official

Name: MRS. CHRIS SHANNON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 831-758-0181