Provider Demographics
NPI:1174150684
Name:CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Entity type:Organization
Organization Name:CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHER
Authorized Official - Last Name:ALDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-897-9735
Mailing Address - Street 1:2402 CANYON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-2000
Mailing Address - Country:US
Mailing Address - Phone:806-897-9735
Mailing Address - Fax:806-894-4712
Practice Address - Street 1:2402 CANYON LAKE DR
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-2000
Practice Address - Country:US
Practice Address - Phone:806-897-9735
Practice Address - Fax:806-894-4712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility