| NPI | 1528246329 |
|---|---|
| Other Name | GENESIS OUTPATIENT SPECIALTY MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CAROL DELA TORRE Deputy Administrator 559-439-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-12-02 |