NPI | 1811607062 |
---|---|
Doing Business As | GENESIS AFC |
Entity Type | Organization |
Authorized Contact | YOLANDA HANKERSON Quality Assurance Supervisor 602-526-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2022-11-29 |
Last Update Date | 2022-11-29 |