Organization
GENESIS TREATMENT FOSTER CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS STUCKEY (PROGRAM COORDINATOR)
(702) 544-0763
Entity
Organization
Contact information
Practice address
3920 W ANN RD, SUITE 100, NORTH LAS VEGAS, NV 89031-3839
(702) 550-6700
(702) 550-4872
Mailing address
3920 W ANN RD, SUITE 100, NORTH LAS VEGAS, NV 89031-3839
(702) 550-6700
(702) 550-4872
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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