| Genesis Programs, Inc. | |
|
145 Hodencamp Rd Suite 207 Thousand Oaks CA 91360-5810 | |
| (805) 497-6169 | |
| (805) 497-6179 |
| Full Name | Genesis Programs, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 145 Hodencamp Rd, Thousand Oaks, 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. 145 Hodencamp Rd Suite 207 Thousand Oaks CA 91360-5810 Ph: (805) 497-6169 |
| NPI Number | 1568681229 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568681229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 560032BP (California) | Primary |
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