Provider Demographics
NPI:1285256644
Name:CAROLS HOPE
Entity type:Organization
Organization Name:CAROLS HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-343-1651
Mailing Address - Street 1:4032 M 139
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-8665
Mailing Address - Country:US
Mailing Address - Phone:269-556-1526
Mailing Address - Fax:269-556-1528
Practice Address - Street 1:4032 M 139
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-8665
Practice Address - Country:US
Practice Address - Phone:269-556-1526
Practice Address - Fax:269-556-1528
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALING CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder