A Chance for Hope

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL055087 Issued in NC

Legal business name

A CHANCE FOR HOPE

Practice address

820 S Laurel St
Lincolnton, NC 28092-3641

Phone

(704) 732-3746

Fax

(704) 732-3746

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Anglea Wilburn, QP

Title

Vice President

Phone

(704) 293-4288

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972652261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923641",
            "telephone_number": "704-732-3746",
            "fax_number": "704-732-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S LAUREL ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923641",
            "telephone_number": "704-732-3746",
            "fax_number": "704-732-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CHANCE FOR HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "ANGLEA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-293-4288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL055087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.