Organization
GREGORY BALOGUN
Active
Organization
GREGORY BALOGUN
Active
Other names
Genesis Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BALOGUN (ADM)
(214) 392-4454
Entity
Organization
Contact information
Practice address
10118 BENT TREE DR, ROWLETT, TX 75089-8392
(214) 392-4454
Mailing address
10118 BENT TREE DR, ROWLETT, TX 75089-8392
(214) 392-4454
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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