| NPI | 1982580148 |
|---|---|
| Doing Business As | GENESIS |
| Entity Type | Organization |
| Authorized Contact | CAPRICE WILLIAMS Executive Director 773-732-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |