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Organization

GENESIS BEHAVIORAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YUSLEISY COLLAZO (MANAGING MEMBER)
(702) 981-4012
Entity
Organization

Contact information

Practice address
5604 HARMONY AVE, LAS VEGAS, NV 89107-2625
(702) 981-4012
Mailing address
5604 HARMONY AVE, LAS VEGAS, NV 89107-2625
(702) 981-4012

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
03/30/2021
Last updated
03/30/2021
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