| NPI | 1184323636 |
|---|---|
| Doing Business As | GENESIS FAMILY AND COMMUNITY SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | FAWNDA NEWTON Executive Director 719-371-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |