Organization
GENESIS CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LAY TEJEDA (PRESIDENT)
(305) 901-9554
Entity
Organization
Contact information
Practice address
2801 NW 74TH AVE STE 108, MIAMI, FL 33122-1401
(305) 901-9554
Mailing address
2801 NW 74TH AVE STE 108, MIAMI, FL 33122-1401
(305) 901-9554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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