| Genesis Youth And Family Services Of La, Llc | |
|
5700 Florida Blvd Suite 412 Baton Rouge LA 70806-4274 | |
| (225) 932-0200 | |
| (225) 932-0201 |
| Full Name | Genesis Youth And Family Services Of La, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5700 Florida Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Teresa Jackson (OWNER) |
| Authorized Official Contact | 7042533752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Youth And Family Services Of La, Llc Po Box 42915 Charlotte NC 28215-0017 Ph: (225) 932-0200 | Genesis Youth And Family Services Of La, Llc 5700 Florida Blvd Suite 412 Baton Rouge LA 70806-4274 Ph: (225) 932-0200 |
| NPI Number | 1871890871 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871890871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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