Provider Demographics
NPI:1730904152
Name:THE HOPE CENTER VICTORVILLE LLC
Entity type:Organization
Organization Name:THE HOPE CENTER VICTORVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-733-2685
Mailing Address - Street 1:12233 BALI ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-6836
Mailing Address - Country:US
Mailing Address - Phone:626-733-2685
Mailing Address - Fax:
Practice Address - Street 1:12233 BALI ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-6836
Practice Address - Country:US
Practice Address - Phone:626-733-2685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility