Organization
GENERATEHOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PATRICIA MUNSEY LCSW (EXECUTIVE DIRECTOR)
(619) 818-4026
Entity
Organization
Contact information
Practice address
3419 EVERGREEN RD, BONITA, CA 91902-1407
(619) 818-4026
(619) 342-7508
Mailing address
4025 CAMINO DEL RIO S, SUITE 300, SAN DIEGO, CA 92108-4107
(619) 818-4026
(619) 342-7508
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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