HOOKED ON HOPE LLC NPI 1992402531

NPI Information

NPI: 1992402531
Provider Name: HOOKED ON HOPE LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 11D2276512

Address:
126 ENTERPRISE PATH STE 207
HIRAM, GA
ZIP 30141
Phone: (609) 480-9853
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HOOKED ON HOPE LLC is a rehabilitation and substance use disorder clinic center in Hiram, GA. HOOKED ON HOPE LLC NPI is 1992402531. The provider is registered as an organization entity type.

The provider's business location address is:

126 ENTERPRISE PATH STE 207
HIRAM, GA
ZIP 30141-654
Phone: (609) 480-9853

The provider's authorized official is Andrew Widota .
The authorized official title is Coo and has the following contact phone number (609) 480-9853.

The CLIA number assigned to this NPI record is 11D2276512 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	324500000X	Substance Abuse Rehabilitation Facility		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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