Provider Demographics
NPI:1255194775
Name:HOPE INTERVENTION SERVICES LLC
Entity type:Organization
Organization Name:HOPE INTERVENTION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YANCUN
Authorized Official - Middle Name:
Authorized Official - Last Name:WISSEH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-477-2961
Mailing Address - Street 1:1028 MANNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-8817
Mailing Address - Country:US
Mailing Address - Phone:484-477-2961
Mailing Address - Fax:
Practice Address - Street 1:1028 MANNINGTON DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-8817
Practice Address - Country:US
Practice Address - Phone:484-477-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health