NPI 1114049186

House of Metamorphosis, INC.

Organisation Substance Abuse Rehabilitation Facility San Diego, CA

Practice location

Address: 2970 Market St, San Diego, CA 92102-3241
Phone: (619) 236-9217
Fax: (619) 232-0855

Authorised official

Name: Beverly Monroe
Title: Executive Director
Phone: (619) 236-9217

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 370021AN (CA)

Other Substance Abuse Rehabilitation Facility providers in California →

Registry record

NPI: 1114049186
Entity type: Organization
NPI issued: 3 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.