| Genesis Programs, Inc. | |
|
25129 The Old Rd Suite 207 Stevenson Ranch CA 91381-2244 | |
| (661) 260-3078 | |
| Not Available |
| Full Name | Genesis Programs, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 25129 The Old Rd, Stevenson Ranch, California |
| Authorized Official Name and Position | Athena Naranjo (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8056503094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Programs, Inc. 1732 Palma Dr. Suite 208 Ventura CA 93003-5796 Ph: (805) 650-3094 | Genesis Programs, Inc. 25129 The Old Rd Suite 207 Stevenson Ranch CA 91381-2244 Ph: (661) 260-3078 |
| NPI Number | 1336270032 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336270032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39848775 (California) | Primary |
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