Organization
GENESIS YOUTH AND FAMILY SERVICES OF LA, LLC
Active
Organization
GENESIS YOUTH AND FAMILY SERVICES OF LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JACKSON (OWNER)
(704) 253-3752
Entity
Organization
Contact information
Practice address
5700 FLORIDA BLVD, SUITE 412, BATON ROUGE, LA 70806-4274
(225) 932-0200
(225) 932-0201
Mailing address
PO BOX 42915, CHARLOTTE, NC 28215-0017
(225) 932-0200
(225) 932-0201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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