| Youth Hope Inc | |
|
255 N. D Street, Suite 400 San Bernardino CA 92401 | |
| (909) 567-2808 | |
| (909) 567-2808 |
| Full Name | Youth Hope Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 N. D Street,, San Bernardino, California |
| Authorized Official Name and Position | Geoffrey Bestman Ibeabuchi (CEO) |
| Authorized Official Contact | 9095672808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Hope Inc Po Box 264 Pattom CA 92369-0264 Ph: (909) 567-2808 | Youth Hope Inc 255 N. D Street, Suite 400 San Bernardino CA 92401 Ph: (909) 567-2808 |
| NPI Number | 1770845497 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770845497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS 18357 (California) | Primary |
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