Healthcare Provider Details

I. General information

NPI: 1689472532
Provider Name (Legal Business Name): HOPE 4 2MORROW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 BALBOA AVE STE 204
SAN DIEGO CA
92111-2261
US

IV. Provider business mailing address

7710 BALBOA AVE STE 204
SAN DIEGO CA
92111-2261
US

V. Phone/Fax

Practice location:
  • Phone: 614-266-1079
  • Fax:
Mailing address:
  • Phone: 614-266-1079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROGER LEWIS
Title or Position: MANAGING MEMBER
Credential:
Phone: 614-266-1079