Provider Demographics
NPI:1588404271
Name:HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC
Entity type:Organization
Organization Name:HOPE ESPERANZA RESTORATION AND EMPOWERMENT CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IESHA
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSENBORO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:301-793-3800
Mailing Address - Street 1:11288 BURBERRY ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3187
Mailing Address - Country:US
Mailing Address - Phone:301-793-3800
Mailing Address - Fax:
Practice Address - Street 1:2 INDUSTRIAL PARK DR STE C
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2729
Practice Address - Country:US
Practice Address - Phone:301-793-3800
Practice Address - Fax:240-222-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management