Organization
GENESIS FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DELA TORRE LCSW (DEPUTY DIRECTOR)
(559) 439-5437
Entity
Organization
Contact information
Practice address
4291 N MILLBROOK AVE, FRESNO, CA 93726-3438
(559) 439-5437
Mailing address
7475 N PALM AVE STE 107, FRESNO, CA 93711-5763
(559) 439-5437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
06/20/2008
Last updated
06/20/2008
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