Genesis Partial Hospitalization

NPI #1811024375 in Amite, Louisiana

Provider Information

NPI Number: 1811024375
Entity Type: Organization
Organization Name: Genesis Partial Hospitalization
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 10270 HIGHWAY 16
City: Amite
State: Louisiana
ZIP Code: 70422-4170
Phone: (985) 748-5280

Authorized Official

Name: MRS. GLYNISS GORDON
Title: ADMINISTRATOR
Phone: (985) 748-5280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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