| NPI | 1366233603 |
|---|---|
| Doing Business As | GENESIS BEHAVIOR CENTER LAS VEGAS |
| Entity Type | Organization |
| Authorized Contact | ROGLY TUPAS SUASIN Owner 808-387-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |