Healthcare Provider Details

I. General information

NPI: 1316363989
Provider Name (Legal Business Name): CHILDREN'S HOPE RESIDENTIAL TREATMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2014
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 EARLY BLVD
EARLY TX
76802-2355
US

IV. Provider business mailing address

518 AVENUE H
LEVELLAND TX
79336-3727
US

V. Phone/Fax

Practice location:
  • Phone: 806-897-9735
  • Fax: 806-568-2316
Mailing address:
  • Phone: 806-897-9735
  • Fax: 806-568-2316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number1423046
License Number StateTX

VIII. Authorized Official

Name: MRS. CHRISTINA TORRES RAMIREZ
Title or Position: CORPORATE DIRECTOR OF A/R
Credential:
Phone: 806-568-3135