Hidden Hope Residential

NPI #1093122368 in Yucaipa, California

Provider Information

NPI Number: 1093122368
Entity Type: Organization
Organization Name: Hidden Hope Residential
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 17, 2014
Last Updated: Jul 17, 2014

Practice Location

Address: 12640 14TH ST
City: Yucaipa
State: California
ZIP Code: 92399-1855
Phone: (626) 797-9977

Authorized Official

Name: MR. JOHN WRIGHT
Title: ADMINISTRATOR
Phone: (626) 797-9977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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