HOUSE OF METAMORPHOSIS, INC.
Residential Treatment Facilities at Market St, San Diego, CA

License number
California 370021AN
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MS. BEVERLY MONROE
Title: EXECUTIVE DIRECTOR
Phone: (619) 236-9217
Address
Address
2970 Market St, San Diego, CA 92102
National Provider ID: 1114049186
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOUSE OF METAMORPHOSIS, INC

2970 Market St, San Diego, CA 92102

Industry:
Residential Care Services Individual/Family Services
Registration:
Mar 14, 1973
State ID:
C0676574
Business type:
Articles of Incorporation
Presidents:
Bill Martin (President),Virginia Clark-Nash President, inactive
Agent:
Beverly Monroe,San Diego, CA 92108 (Physical)

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