Provider Demographics
NPI:1043405533
Name:HARMONY GROVE PROGRAMS, INC.
Entity Type:Organization
Organization Name:HARMONY GROVE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:CEDS, CHT
Authorized Official - Phone:858-342-1514
Mailing Address - Street 1:639 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6210
Mailing Address - Country:US
Mailing Address - Phone:858-342-1514
Mailing Address - Fax:
Practice Address - Street 1:4241 JUTLAND DR
Practice Address - Street 2:#320
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-3663
Practice Address - Country:US
Practice Address - Phone:800-990-8052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health