NPI 1114030194

The H.O.P.E. Program

Organisation Psychiatric Residential Treatment Facility Fountain, FL

Practice location

Address: 11712 Vandoren Ln, Fountain, FL 32438-5262
Phone: (850) 722-0557
Fax: (850) 722-9559

Authorised official

Name: Roxanne Martin
Title: Administrator
Phone: (850) 722-0557

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

Other Psychiatric Residential Treatment Facility providers in Florida →

Registry record

NPI: 1114030194
Entity type: Organization
NPI issued: 16 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.