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Organization

GENISIS SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARJEEL KHAN (CEO)
(248) 444-2772
Entity
Organization

Contact information

Practice address
15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
(248) 444-2772
(248) 681-2832
Mailing address
15201 W MCNICHOLS RD, DETROIT, MI 48235-3717
(313) 279-3002
(313) 332-4134

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YS0200X
School Counselor
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary
251S00000X
Community/Behavioral Health Agency
261QP2000X
Physical Therapy Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
364SA2200X
Adult Health Clinical Nurse Specialist

Other

Enumeration date
04/12/2017
Last updated
05/03/2017
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