Provider Demographics
NPI:1225469588
Name:VALLEY OF HOPE CHILDREN'S CENTER
Entity Type:Organization
Organization Name:VALLEY OF HOPE CHILDREN'S CENTER
Other - Org Name:VALLEY OF HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:SAGASTUME
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-326-3017
Mailing Address - Street 1:11300 GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-1622
Mailing Address - Country:US
Mailing Address - Phone:818-588-3820
Mailing Address - Fax:
Practice Address - Street 1:11300 GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-1622
Practice Address - Country:US
Practice Address - Phone:818-588-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health