Healthcare Provider Details

I. General information

NPI: 1578060984
Provider Name (Legal Business Name): ORGANIZATION OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 04/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E LEXINGTON ST STE 600
BALTIMORE MD
21202-3529
US

IV. Provider business mailing address

PO BOX 1466
TEMPLE HILLS MD
20757-1466
US

V. Phone/Fax

Practice location:
  • Phone: 443-449-6018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRECIA WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 443-653-8227