Organization
GENESIS RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER H SALTER MA, LAC, CCS (CLINICAL DIRECTOR)
(318) 251-4659
Entity
Organization
Contact information
Practice address
3138 HIGHWAY 818, RUSTON, LA 71270-1370
(318) 278-2793
Mailing address
3138 HIGHWAY 818, RUSTON, LA 71270-1370
(318) 278-2793
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1137
—
LA
Enumeration date
02/18/2020
Last updated
02/18/2020
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