| NPI | 1821488842 |
|---|---|
| Doing Business As | GENESIS WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLYDE JOHNSON Owner 720-515-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO CHR.0006922) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO EL.2786103) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |