| NPI | 1831219773 |
|---|---|
| Former Legal Business Name | GENESIS GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNY RODELANDER ELLINGSEN Director 760-729-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA CA# MFC19117) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |