| Genesis Case Management Services, Corp | |
|
8181 Nw 36th St Suite 24 Doral FL 33166-6671 | |
| (305) 639-9639 | |
| (305) 381-0735 |
| Full Name | Genesis Case Management Services, Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8181 Nw 36th St, Doral, Florida |
| Authorized Official Name and Position | Jorge Braceras (CEO) |
| Authorized Official Contact | 3056399639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Case Management Services, Corp 8181 Nw 36th St Suite 24 Doral FL 33166-6671 Ph: (305) 639-9639 | Genesis Case Management Services, Corp 8181 Nw 36th St Suite 24 Doral FL 33166-6671 Ph: (305) 639-9639 |
| NPI Number | 1366844524 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366844524 | NPI | - | NPPES |
| 012187400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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