Healthcare Provider Details

I. General information

NPI: 1598921579
Provider Name (Legal Business Name): DOOR TO HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 09/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 OXFORD CT
SALINAS CA
93906-2184
US

IV. Provider business mailing address

130 W GABILAN ST
SALINAS CA
93901-2762
US

V. Phone/Fax

Practice location:
  • Phone: 831-771-8555
  • Fax: 831-758-5127
Mailing address:
  • Phone: 831-758-0181
  • Fax: 831-758-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number275202098
License Number StateCA

VIII. Authorized Official

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