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NPI 1801418405

NPI 1801418405 : THE HOPE PROJECT : MUSKEGON, MI

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General NPI Number Information
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    NPI Number           |    1801418405
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE HOPE PROJECT 
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Dates
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    Enumeration Date     |    05/18/2020
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    Last Update Date     |    05/18/2020
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Provider Practice Location Address
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    Address Line         |    1516 PECK ST 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49441-2128
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    Country              |    US
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    Telephone            |    231-747-8555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1516 PECK ST 
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    City                 |    MUSKEGON
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    State                |    MI
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    Zip                  |    49441-2128
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    Country              |    US
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    Telephone            |    231-747-8555
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     SARA  JOHNSON 
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    Credential           |    BSW
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    Telephone            |    231-747-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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