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Organization
GENESIS FACTOR INTERNATIONAL INC.
Active
Organization
GENESIS FACTOR INTERNATIONAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA LAMPTEY MASTER IN COUNSELING (CEO/PRESIDENT)
(817) 983-2077
Entity
Organization
Contact information
Practice address
2917 BUCKSKIN RUN APT 808, FORT WORTH, TX 76116-9601
(817) 983-2077
Mailing address
6387B CAMP BOWIE BLVD # 629, FORT WORTH, TX 76116-5423
(817) 983-2077
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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