institution
Hidden Hope Residential
Addiction (Substance Use Disorder) Counselor in Yucaipa, California
NPI 1093122368

Hidden Hope Residential is an Addiction (Substance Use Disorder) Counselor based in Yucaipa, CA and is specialized in Addiction (Substance Use Disorder). Hidden Hope Residential practices in Yucaipa, CA. The NPI Number for Hidden Hope Residential is 1093122368 and holds a License No. 360100AP (California).

The current practice location address for Hidden Hope Residential is 12640 14Th St, Yucaipa, CA and can be reached out via phone at 626-797-9977 and via fax at 626-844-2977.

Location: 12640 14Th St, Yucaipa, CA, 92399-1821
institution
Provider Profile Details
NPI Number
1093122368
Provider Name
Hidden Hope Residential
Credential
Provider Entity Type
Organization
Address
12640 14Th St, Yucaipa, CA, 92399-1821
Phone Number
626-797-9977
Fax Number
626-844-2977
Provider Enumeration Date
07/17/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
360100AP 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
12640 14Th St
City
State
Zip
92399-1855
Phone Number
626-797-9977
Fax Number
626-844-2977
person
Provider Business Mailing Address Details
Address
12640 14Th St
City
State
Zip
92399-1855
Phone Number
626-797-9977
Fax Number
626-844-2977
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
360100AP (California)
Definition
Definition to come...
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