| NPI | 1104694025 |
|---|---|
| Doing Business As | REY OF HOPE PHASE PROGRAM, LLC |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D LEWIS Founder/Director 144-384-5496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |