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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