Healthcare Provider Details

I. General information

NPI: 1497949721
Provider Name (Legal Business Name): HOPE IN CHRIST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E BERGEN PL FIRST FLOOR CENTER SUITE
RED BANK NJ
07701-2160
US

IV. Provider business mailing address

62 MADISON AVE
RED BANK NJ
07701-2209
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-1333
  • Fax: 732-747-1333
Mailing address:
  • Phone: 732-747-1333
  • Fax: 732-747-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number44SC04683700
License Number StateNJ

VIII. Authorized Official

Name: MARGUERITE PARRILLO
Title or Position: DIRECTOR
Credential: LCSW
Phone: 732-747-1333