Provider Demographics
NPI:1912297094
Name:COURAGEOUS HOPE INC.
Entity type:Organization
Organization Name:COURAGEOUS HOPE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MBA
Authorized Official - Phone:919-455-7117
Mailing Address - Street 1:908 FAYETTEVILLE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3982
Mailing Address - Country:US
Mailing Address - Phone:919-455-7117
Mailing Address - Fax:
Practice Address - Street 1:908 FAYETTEVILLE ST STE 203
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3982
Practice Address - Country:US
Practice Address - Phone:919-455-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency