Organization
GENESIS HOUSING, COUNSELING AND OUTREACH SERVICES, INC.
Active
Organization
GENESIS HOUSING, COUNSELING AND OUTREACH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLON PATRICK MAZANT SR. PHARMD (OWNER/CEO/PRESIDENT)
(504) 342-7574
Entity
Organization
Contact information
Practice address
10001 LAKE FOREST BLVD STE 613, NEW ORLEANS, LA 70127-6201
(504) 908-6241
(504) 389-1117
Mailing address
10001 LAKE FOREST BLVD STE 613, NEW ORLEANS, LA 70127-6201
(504) 908-6241
(504) 389-1117
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2203783801
LA
Other
Enumeration date
03/17/2017
Last updated
03/04/2022
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