| Genesis Behavioral Services, Inc | |
|
304 Otter Ave Oshkosh WI 54901-5011 | |
| (414) 939-7145 | |
| (414) 988-4896 |
| Full Name | Genesis Behavioral Services, Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 304 Otter Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Karl Rajani (CEO) |
| Authorized Official Contact | 1493971454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Services, Inc 304 Otter Ave Oshkosh WI 54901-5011 Ph: (414) 939-7145 | Genesis Behavioral Services, Inc 304 Otter Ave Oshkosh WI 54901-5011 Ph: (414) 939-7145 |
| NPI Number | 1861067951 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861067951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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