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

Address
1626 CLARENCE COURT
ZIP Code
53095
Phone
(262) 338-8611

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 HealthMental Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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