Organization
FOUNDER'S HOUSE OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BOLONG AD (ADULT CARETAKE ADMINISTOR)
(562) 860-3351
Entity
Organization
Contact information
Practice address
18025 PIONEER BLVD, ARTESIA, CA 90701-3904
(562) 860-3351
Mailing address
18025 PIONEER BLVD, ARTESIA, CA 90701-3904
(562) 860-3351
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
191592599
CA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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