GENESIS BEHAVIORAL SERVICES INC NPI 1164012373

NPI Information

GENESIS BEHAVIORAL SERVICES, INC is a substance abuse rehabilitation facility in Racine, WI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GENESIS BEHAVIORAL SERVICES, INC NPI is 1164012373. The provider is registered as an organization entity type.

The provider's business location address is:

4107 SAINT CLAIR ST
RACINE, WI
ZIP 53402-007
Phone: (414) 939-7145
Fax: (414) 321-5935

The provider's authorized official is Karl Rajani .
The authorized official title is President and has the following contact phone number (414) 301-6381.

The CLIA number assigned to this NPI record is 52D2146414 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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