| Youth Hope Inc. | |
|
577 N D St Ste 100 San Bernardino CA 92401-1324 | |
| (909) 884-3415 | |
| (909) 884-3417 |
| Full Name | Youth Hope Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 577 N D St, San Bernardino, California |
| Authorized Official Name and Position | Geoffrey B Ibeabuchi (OWNER) |
| Authorized Official Contact | 9098843415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Hope Inc. 577 N D St Ste 100 San Bernardino CA 92401-1324 Ph: (909) 884-3415 | Youth Hope Inc. 577 N D St Ste 100 San Bernardino CA 92401-1324 Ph: (909) 884-3415 |
| NPI Number | 1720392764 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720392764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 18357 (California) | Primary |
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