Organization
GENESIS CASE MANAGEMENT SERVICES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE BRACERAS (CEO)
(305) 639-9639
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 24, DORAL, FL 33166-6671
(305) 639-9639
(305) 381-0735
Mailing address
8181 NW 36TH ST, SUITE 24, DORAL, FL 33166-6671
(305) 639-9639
(305) 381-0735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012187400
—
FL
Enumeration date
09/19/2014
Last updated
09/19/2014
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