# CHILDREN'S HOPE GROUP HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679009203
- **Authorized official:** MIKE SUDYKA LMFT (CEO)
- **Authorized official phone:** (909) 561-7784

## Contact information

- **Practice address:** 1106 W 22ND ST, UPLAND, CA 91784-1231
- **Practice address phone:** (909) 561-7784
- **Mailing address:** PO BOX 1938, UPLAND, CA 91785-1938
- **Mailing address phone:** (909) 561-7784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 366425817 | CA | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 05/02/2017