Provider Demographics
NPI:1316237738
Name:CENTER OF HOPE COMMUNITY DEVELOPMENT CORPORATION
Entity type:Organization
Organization Name:CENTER OF HOPE COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CEDERICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:251-802-7499
Mailing Address - Street 1:PO BOX 8433
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36689-0433
Mailing Address - Country:US
Mailing Address - Phone:251-316-0950
Mailing Address - Fax:
Practice Address - Street 1:4612 MYERS RD
Practice Address - Street 2:
Practice Address - City:EIGHT MILE
Practice Address - State:AL
Practice Address - Zip Code:36613-3327
Practice Address - Country:US
Practice Address - Phone:251-300-8232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities