| Genesis Family Center | |
|
83 E Shaw Ave Ste 100 Fresno CA 93710-7616 | |
| (559) 439-5437 | |
| (559) 439-5411 |
| Full Name | Genesis Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 83 E Shaw Ave Ste 100, Fresno, California |
| Authorized Official Name and Position | Carol Dela Torre (DEPUTY ADMINISTRATOR) |
| Authorized Official Contact | 5594395437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Center 7475 N Palm Ave Ste 107 Fresno CA 93711-5763 Ph: (559) 439-5437 | Genesis Family Center 83 E Shaw Ave Ste 100 Fresno CA 93710-7616 Ph: (559) 439-5437 |
| NPI Number | 1679744536 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679744536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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