Provider Demographics
NPI:1700155397
Name:HOPE RECOVERY CLINIC
Entity type:Organization
Organization Name:HOPE RECOVERY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LP
Authorized Official - Phone:763-525-9900
Mailing Address - Street 1:8525 EDINBROOK XING
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1900
Mailing Address - Country:US
Mailing Address - Phone:763-525-9900
Mailing Address - Fax:763-424-8851
Practice Address - Street 1:8525 EDINBROOK XING
Practice Address - Street 2:SUITE 3
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-1900
Practice Address - Country:US
Practice Address - Phone:763-525-9900
Practice Address - Fax:763-424-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3895103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty