# HAVEN OF HOPE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAVEN OF HOPE, INC - HALCYON
- **Other names:** Haven of Hope, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619466489
- **Legal business name:** HAVEN OF HOPE, INC - HALCYON
- **Authorized official:** MS. DAVINA RENE POLANCO MS, CTRS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (831) 345-2238

## Contact information

- **Practice address:** 107 PAULINE DR, WATSONVILLE, CA 95076-1063
- **Practice address phone:** (831) 425-3010
- **Practice address fax:** (831) 426-6348
- **Mailing address:** PO BOX 610, APTOS, CA 95001-0610
- **Mailing address phone:** (831) 345-2238
- **Mailing address fax:** (831) 426-6348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 445201743 | CA | Yes |

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 05/07/2018