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Organization
GENISIS SERVICES, INC
Active
Organization
GENISIS SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARJEEL KHAN (CEO)
(248) 444-2772
Entity
Organization
Contact information
Practice address
15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
(248) 444-2772
(248) 681-2832
Mailing address
15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
(313) 279-3002
(313) 332-4134
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/12/2017
Last updated
05/03/2017
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