Organization
SOROPTIMIST HOUSE OF HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA A. OMA GRAY CAS (CHIEF ADMINISTRATOR)
(951) 849-9491
Entity
Organization
Contact information
Practice address
628 S 8TH ST, BANNING, CA 92220-4512
(951) 849-9491
(951) 849-8262
Mailing address
628 S 8TH ST, BANNING, CA 92220-4512
(951) 849-9491
(951) 849-8262
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
330016AN
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
330016BN
CA
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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