Organization
GENESIS FAMILY CENTER
Active
Other names
Genesis Outpatient Specialty Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DELA TORRE LCSW (DEPUTY ADMINISTRATOR)
(559) 439-5437
Entity
Organization
Contact information
Practice address
83 E SHAW AVE, SUITE 100, FRESNO, CA 93710-7620
(559) 439-5437
(559) 439-5411
Mailing address
7475 N PALM AVE, SUITE 107, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
12/02/2008
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