| NPI | 1952518649 |
|---|---|
| Former Legal Business Name | GENESIS FAMILY CENTER |
| Entity Type | Organization |
| Authorized Contact | TONGIA SULLIVAN Program COO Rdinator 559-439-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care (Licence: CA 100043AN) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-08-22 |