| Genesis Partial Hospitalization | |
|
10270 Highway 16 Amite LA 70422-4170 | |
| (985) 748-5280 | |
| (985) 748-5152 |
| Full Name | Genesis Partial Hospitalization |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10270 Highway 16, Amite, Louisiana |
| Authorized Official Name and Position | Glyniss Gordon (ADMINISTRATOR) |
| Authorized Official Contact | 9857485280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Partial Hospitalization 10270 Highway 16 Amite LA 70422-4170 Ph: (985) 748-5280 | Genesis Partial Hospitalization 10270 Highway 16 Amite LA 70422-4170 Ph: (985) 748-5280 |
| NPI Number | 1811024375 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811024375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Louisiana) | Primary |
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