Organization
CHILDREN'S HOPE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SUDYKA LMFT (CEO)
(909) 561-7784
Entity
Organization
Contact information
Practice address
1106 W 22ND ST, UPLAND, CA 91784-1231
(909) 561-7784
Mailing address
PO BOX 1938, UPLAND, CA 91785-1938
(909) 561-7784
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
366425817
CA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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