Genesis Substance Abuse Services
NPI #1952518649 in Fresno, California
Provider Information
- NPI Number
- 1952518649
- Entity Type
- Organization
- Organization Name
- Genesis Substance Abuse Services
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2007
Practice Location
- Address
- 7475 N PALM AVE STE 107
- City
- Fresno
- State
- California
- ZIP Code
- 93711-5763
- Phone
- (559) 439-5437
Authorized Official
- Name
- MISS TONGIA SULLIVAN, BA, SWK
- Title
- PROGRAM COORDINATOR
- Phone
- (559) 439-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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