House Of Metamorphosis, Inc. in San Diego - Substance Abuse Rehabilitation Facility

House Of Metamorphosis, Inc. - NPI 1114049186

House Of Metamorphosis, Inc. is a Substance Abuse Rehabilitation Facility in San Diego, California. House Of Metamorphosis, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for House Of Metamorphosis, Inc. is 1114049186. The last update date is 2020-08-22.

House Of Metamorphosis, Inc.'s current location address is 2970 Market St, San Diego, California. You can contact this provider via phone number 6192369217 and fax number 6192320855. The mailing address for House Of Metamorphosis, Inc. is 2970 Market St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization House Of Metamorphosis, Inc.
Address 2970 Market St, San Diego, California
Phone Number 6192369217
Fax Number 6192320855
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Monroe Beverly
Telephone Number 6192369217

NPI Number Detail

NPI Number 1114049186
Provider Enumeration Date 2007-04-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2970 Market St
City San Diego
State California (CA)
Post Code 921023241
Phone Number 6192369217
Fax Number 6192320855

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 370021AN
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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FAQs about House Of Metamorphosis, Inc.

What is the unique 10-digit identification code assigned to House Of Metamorphosis, Inc. by the Centers for Medicare & Medicaid Services?

The House Of Metamorphosis, Inc. has been issued the NPI (National Provider Identifier) 1114049186, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where House Of Metamorphosis, Inc. is physically located?

The House Of Metamorphosis, Inc. is situated at the following address: 2970 Market St, San Diego, CA 921023241.

What is House Of Metamorphosis, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The House Of Metamorphosis, Inc.'s area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114049186 to House Of Metamorphosis, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1114049186 to House Of Metamorphosis, Inc. on 2007-04-03.

As of what date were the details pertaining to House Of Metamorphosis, Inc. last refreshed?

The information related to the House Of Metamorphosis, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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