Organization
GENESIS PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATHENA NARANJO LAADC (CEO/CLINICAL DIRECTOR)
(805) 650-3094
Entity
Organization
Contact information
Practice address
145 HODENCAMP RD, SUITE 207, THOUSAND OAKS, CA 91360-5810
(805) 497-6169
(805) 497-6179
Mailing address
1732 PALMA DR., SUITE 208, VENTURA, CA 93003-5796
(805) 650-3094
(805) 650-3094
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
560032BP
CA
Other
Enumeration date
04/24/2007
Last updated
11/28/2018
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