Healthcare Provider Details

I. General information

NPI: 1124316039
Provider Name (Legal Business Name): THE FAMILY CENTER OF HOPE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 SAINT CHARLES AVE
NEW ORLEANS LA
70115-4830
US

IV. Provider business mailing address

4422 SAINT CHARLES AVE
NEW ORLEANS LA
70115-4830
US

V. Phone/Fax

Practice location:
  • Phone: 505-891-3264
  • Fax: 504-891-1172
Mailing address:
  • Phone: 505-891-3264
  • Fax: 504-891-1172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAT G WATSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LMSW
Phone: 504-259-7642