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Organization
HIDDEN HOPE RESIDENTIAL
Active
Organization
HIDDEN HOPE RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WRIGHT (ADMINISTRATOR)
(626) 797-9977
Entity
Organization
Contact information
Practice address
12640 14TH ST, YUCAIPA, CA 92399-1855
(626) 797-9977
(626) 844-2977
Mailing address
12829 14TH ST, YUCAIPA, CA 92399-1821
(626) 797-9977
(626) 844-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
360100AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360100AP
STATE LICENSE
CA
Enumeration date
07/17/2014
Last updated
07/17/2014
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