Organization
GENESIS SUBSTANCE ABUSE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD HILL CERTIFICATE (COUNSELOR)
(559) 439-5437
Entity
Organization
Contact information
Practice address
7475 N PALM AVE, FRESNO, CA 93711-5763
(559) 439-5437
(559) 439-5411
Mailing address
7475 N PALM AVE, FRESNO, CA 93711-5763
(559) 439-5437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100043AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QR0800X
DRUG MEDICAL
CA
Enumeration date
08/16/2007
Last updated
08/16/2007
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