NPI 1265511174
Shades of Hope LP
Practice location
- Address
- 402-A Mulberry St, Buffalo Gap, TX 79508
- Phone
- (325) 572-3843
- Fax
- (325) 572-3405
- Mailing address
- PO Box 639, Buffalo Gap, TX 79508-0639
Authorised official
- Name
- Cam Balcomb
- Title
- Executive Director
- Phone
- (325) 572-3843
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1265511174
- Entity type
- Organization
- NPI issued
- 2 Nov 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.