Basic Information
| Provider Information | |||||||||
| NPI: | 1063021921 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOPE FOR YOUTH, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3447 W SHAW AVE STE 103 | ||||||||
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| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937113251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596811470 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4324 W HARVARD AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937225183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596811470 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2020 | ||||||||
| LastUpdateDate: | 07/27/2020 | ||||||||
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| AuthorizedOfficialLastName: | FLETCHER | ||||||||
| AuthorizedOfficialFirstName: | CLINARD | ||||||||
| AuthorizedOfficialMiddleName: | LUSEARS | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5596811470 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 320800000X | Y | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
No ID Information.