Organization
GENESIS BEHAVIORAL HOSPITAL INC
Active
Organization
GENESIS BEHAVIORAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J ARLEDGE (CFO)
(337) 237-4673
Entity
Organization
Contact information
Practice address
606 LATIOLAIS RD, SUITE B, BREAUX BRIDGE, LA 70517
(337) 237-4673
(337) 237-4674
Mailing address
847 STEWART ST, LAFAYETTE, LA 70501-8539
(337) 237-4673
(337) 237-4674
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
283Q00000X
Psychiatric Hospital
1702633
LA
283Q00000X
Psychiatric Hospital
Primary
612
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612
—
LA
Enumeration date
09/25/2006
Last updated
09/19/2023
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