Provider Demographics
NPI:1306572037
Name:CITY OF HOPE INTERNATIONAL, INC.
Entity type:Organization
Organization Name:CITY OF HOPE INTERNATIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:352-348-0840
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-0540
Mailing Address - Country:US
Mailing Address - Phone:352-348-0840
Mailing Address - Fax:
Practice Address - Street 1:703 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-3502
Practice Address - Country:US
Practice Address - Phone:352-348-0840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility