| Children's Hope Residential Services, Inc. | |
|
1313 W Washington St Levelland TX 79336-3921 | |
| (806) 897-9735 | |
| (806) 568-0299 |
| Full Name | Children's Hope Residential Services, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 1313 W Washington St, Levelland, Texas |
| Authorized Official Name and Position | James Aldrich (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8068979735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hope Residential Services, Inc. 500 West Ave Levelland TX 79336-3341 Ph: (806) 897-9735 | Children's Hope Residential Services, Inc. 1313 W Washington St Levelland TX 79336-3921 Ph: (806) 897-9735 |
| NPI Number | 1710086822 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 823046 (Texas) | Secondary |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 823046 (Texas) | Primary |
Fostering Life Youth Ranch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 5th St, Levelland, TX 79336 Phone: 575-703-1919 |