Organization
GENESIS RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY LONGVAL JR. PH.D. (EXECUTIVE DIRECTOR)
(907) 243-5130
Entity
Organization
Contact information
Practice address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
(907) 248-8350
Mailing address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
(907) 248-8350
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
297960
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324500000X
SUBSTANCE ABUSE TREATMENT
AK
Enumeration date
07/18/2006
Last updated
01/09/2009
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