| NPI | 1326825217 |
|---|---|
| Doing Business As | GENESIS OUT PATIENT |
| Entity Type | Organization |
| Authorized Contact | RICHARD GATONGA Owner 954-865-9794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-09-18 |