Provider Demographics
NPI:1093170508
Name:HOPE AND OPPORTUNITY TREATMENT FACILITY
Entity type:Organization
Organization Name:HOPE AND OPPORTUNITY TREATMENT FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TREATMENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILJONES
Authorized Official - Suffix:
Authorized Official - Credentials:CACIII
Authorized Official - Phone:303-596-9704
Mailing Address - Street 1:380 S POTOMAC ST STE 130
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2490
Mailing Address - Country:US
Mailing Address - Phone:720-216-0970
Mailing Address - Fax:
Practice Address - Street 1:380 S POTOMAC ST STE 130
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2490
Practice Address - Country:US
Practice Address - Phone:720-216-0970
Practice Address - Fax:720-216-0183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LB3 INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1800-00251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health