| NPI | 1578748158 |
|---|---|
| Former Legal Business Name | GENESIS INC |
| Entity Type | Organization |
| Authorized Contact | TONGIA SULLIVAN Program COO Rdinator 559-439-5437 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: CA 100043AN) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |