Organization
BRIDGES OF HOPE CALIFORNIA
Active
Organization
BRIDGES OF HOPE CALIFORNIA
Active
Other names
Bridges of Hope CA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVA MOORAD (FOUNDER / OWNER)
(209) 990-8733
Entity
Organization
Contact information
Practice address
211 DORRIS PL, STOCKTON, CA 95204-5252
(209) 990-8733
Mailing address
211 DORRIS PL, STOCKTON, CA 95204-5252
(209) 990-8733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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