Organization
GENESIS PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA NARANJO LAADC (CEO/CLINICAL DIRECTOR)
(805) 650-3094
Entity
Organization
Contact information
Practice address
1732 PALMA DR STE 208, VENTURA, CA 93003-5796
(805) 650-3094
(805) 650-3097
Mailing address
1732 PALMA DR STE 208, VENTURA, CA 93003-5796
(805) 650-3094
(805) 650-3097
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
560032AP
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Enumeration date
04/24/2007
Last updated
01/26/2021
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