| NPI | 1386701324 |
|---|---|
| Doing Business As | GENESIS MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | GREGORY BALOGUN Adm 214-392-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |