Organization
GENESIS BEHAVIORAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL RAJANI (CEO)
(149) 397-1454
Entity
Organization
Contact information
Practice address
304 OTTER AVE, OSHKOSH, WI 54901-5011
(414) 939-7145
(414) 988-4896
Mailing address
304 OTTER AVE, OSHKOSH, WI 54901-5011
(414) 939-7145
(414) 988-4896
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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