Organization Name: | GENESIS PROGRAMS, INC. |
NPI Number: | 1336270032 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA HOLSHOUSER (BUSINESS MANAGER) |
Mailing Address: | 25129 The Old Rd Suite 207 Stevenson Ranch |
State: | CA US |
Postal Code: | 913812244 |
Phone Number: | 6612603078 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 39848775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |