Organization
GENESIS COUNSELING CENTER, INC
Active
Parent organization
GENESIS COUNSELING CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS COUNSELING CENTER, INC
Authorized official
KAREN COLE (VICE PRESIDENT OF OPERATIONS)
(856) 858-9314
Entity
Organization
Contact information
Practice address
1000 ATLANTIC AVENUE, 5TH FLOOR, CAMDEN, NJ 08104
(856) 964-3955
(856) 964-9332
Mailing address
566 HADDON AVENUE, COLLINGSWOOD, NJ 08108
(856) 858-9314
(856) 858-5672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503495
—
NJ
Enumeration date
08/14/2018
Last updated
08/14/2018
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