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Organization
GENESIS SUBSTANCE ABUSE SERVICES
Active
Organization
GENESIS SUBSTANCE ABUSE SERVICES
Active
Other names
GENESIS FAMILY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TONGIA SULLIVAN BA, SWK (PROGRAM COORDINATOR)
(559) 439-5437
Entity
Organization
Contact information
Practice address
7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Mailing address
7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
100043AN
CA
Other
Enumeration date
05/16/2007
Last updated
08/22/2007
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