Provider Demographics
NPI:1437824992
Name:PSYCHIATRIC HOPE
Entity type:Organization
Organization Name:PSYCHIATRIC HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-520-5880
Mailing Address - Street 1:321 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-4032
Mailing Address - Country:US
Mailing Address - Phone:308-221-4651
Mailing Address - Fax:308-217-1643
Practice Address - Street 1:321 E 3RD ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-4032
Practice Address - Country:US
Practice Address - Phone:308-221-4651
Practice Address - Fax:308-217-1643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty