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CHILDREN'S HOPE RESIDENTIAL SERVICES INC. NPI 1174150684


NPI Information

NPI: 1174150684
Provider Name: CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.

Doing Business As: GRACE MANOR

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2402 CANYON LAKE DR
LUBBOCK, TX
ZIP 79415
Phone: (806) 897-9735
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CHILDREN'S HOPE RESIDENTIAL SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Lubbock, TX. CHILDREN'S HOPE RESIDENTIAL SERVICES, INC. NPI is 1174150684. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Manor.

The provider's business location address is:

2402 CANYON LAKE DR
LUBBOCK, TX
ZIP 79415-000
Phone: (806) 897-9735
Fax: (806) 894-4712

The provider's authorized official is James Arther Aldrich .
The authorized official title is Ceo and has the following contact phone number (806) 897-9735.

The enumeration date for this NPI number is 3/25/2020 and was last updated on 5/24/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 4/28/2024

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