Hidden Hope Residential

NPI 1093122368 - Counselor - 101YA0400X

NPI Details
NPI 1093122368
Enumeration Date 07/17/2014
Last Updated 07/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOHN JOHN
Position ADMINISTRATOR
Phone (626) 797-9977
Fax (626) 844-2977
Practice Location
12640 14TH ST
YUCAIPA CA, 92399-1855, US
Phone (626) 797-9977
Fax (626) 844-2977
Business Location
12829 14TH ST
YUCAIPA CA, 92399-1821, US
Phone (626) 797-9977
Fax (626) 844-2977
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 360100AP
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According to our database, Hidden Hope Residential NPI is 1093122368, taxonomy code is 101YA0400X and license number is 360100AP, license state is located at California. Hidden Hope Residential physically located at 12640 14th St, Yucaipa CA, 92399-1855. NPI Number 1033115704 has the healthcare provider type.

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1093122368 NPI number is provided on an as is basis without warranty of any kind. 1093122368 is maintained by the National Plan & Provider Enumeration System. The contents of Hidden Hope Residential are for informational purposes only.