Organization
GENESIS- PREVENT PROTECT PROVIDE
Active
Organization
GENESIS- PREVENT PROTECT PROVIDE
Active
Other names
Genesis Family and Community Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNDA NEWTON MSW (EXECUTIVE DIRECTOR)
(719) 371-2472
Entity
Organization
Contact information
Practice address
379 CHALICE RD., WESTCLIFFE, CO 81252
(719) 371-2472
Mailing address
PO BOX 744, WESTCLIFFE, CO 81252-0744
(719) 371-2472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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