Organization
GENESIS PARTIAL HOSPITALIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLYNISS GORDON (ADMINISTRATOR)
(985) 748-5280
Entity
Organization
Contact information
Practice address
10270 HIGHWAY 16, AMITE, LA 70422-4170
(985) 748-5280
(985) 748-5152
Mailing address
10270 HIGHWAY 16, AMITE, LA 70422-4170
(985) 748-5280
(985) 748-5152
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
LA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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