Genesis Behavioral Services, Inc.
NPI #1306004999 in West Bend, Wisconsin
Provider Information
- NPI Number
- 1306004999
- Entity Type
- Organization
- Organization Name
- Genesis Behavioral Services, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CORIZON HEALTH, INC.
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 30, 2008
- Last Updated
- Feb 4, 2014
Practice Location
Authorized Official
- Name
- PAULINE ORTLOFF
- Title
- EXECUTIVE DIRECTOR
- Phone
- (414) 777-1570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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| Katherine Sue Liaromatis, SAC-IT 17948-130 | |
| Christine O'callaghan, 17665-130 |
Organizations
| Provider Name | |
|---|---|
| Fresh Perspective Psychotherapy LLC | |
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