Organization
GENESIS COMMUNITY CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA SENETTA ALI (DIRECTOR)
(786) 262-3668
Entity
Organization
Contact information
Practice address
2210 PIERCE ST, HOLLYWOOD, FL 33020-4414
(786) 262-3668
Mailing address
4290 SW 141ST AVE, MIRAMAR, FL 33027-3040
(786) 262-3668
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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