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Organization

HAVEN OF HOPE, INC.

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

Provider details

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

Contact information

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

Taxonomy

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

Other

Enumeration date
05/07/2018
Last updated
05/07/2018
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