Organization
HOPE CANYON RECOVERY, INC
Active
Parent organization
HOPE CANYON RECOVERY, INC
Other names
Hope Canyon Recovery, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPE CANYON RECOVERY, INC
Authorized official
ROBERT NIZNIK (CEO AND OWNER)
(855) 633-6130
Entity
Organization
Contact information
Practice address
100 ISLAND AVE, SAN DIEGO, CA 92101-7000
(619) 343-2395
(305) 930-7437
Mailing address
1515 NW 167TH ST STE 300, MIAMI GARDENS, FL 33169-5106
(855) 297-0980
(305) 930-7437
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370001BP
DEPARTMENT OF HEALTHCARE SERVICES
CA
Enumeration date
11/03/2021
Last updated
11/03/2021
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