Provider Demographics
NPI:1205416443
Name:ANCHORING HOPE
Entity type:Organization
Organization Name:ANCHORING HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOGA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:949-345-9459
Mailing Address - Street 1:23 WHITWORTH ST
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0848
Mailing Address - Country:US
Mailing Address - Phone:949-345-9459
Mailing Address - Fax:
Practice Address - Street 1:23 WHITWORTH ST
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-0848
Practice Address - Country:US
Practice Address - Phone:949-345-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health