| Genesis Recovery Center, Llc | |
|
3138 Highway 818 Ruston LA 71270-1370 | |
| (318) 278-2793 | |
| Not Available |
| Full Name | Genesis Recovery Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3138 Highway 818, Ruston, Louisiana |
| Authorized Official Name and Position | Christopher H Salter (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3182514659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Recovery Center, Llc 3138 Highway 818 Ruston LA 71270-1370 Ph: (318) 278-2793 | Genesis Recovery Center, Llc 3138 Highway 818 Ruston LA 71270-1370 Ph: (318) 278-2793 |
| NPI Number | 1760015713 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760015713 | NPI | - | NPPES |
| 1137 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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