GENESIS PROGRAMS INC. NPI 1336270032

NPI Information

NPI: 1336270032
Provider Name: GENESIS PROGRAMS, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 05D2196461

Address:
25129 THE OLD RD
SUITE 207
STEVENSON RANCH, CA
ZIP 91381
Phone: (661) 260-3078
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GENESIS PROGRAMS, INC. is an addiction (substance use disorder) counselor in Stevenson Ranch, CA. GENESIS PROGRAMS, INC. NPI is 1336270032. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

25129 THE OLD RD
SUITE 207
STEVENSON RANCH, CA
ZIP 91381-244
Phone: (661) 260-3078

The provider's authorized official is Athena Naranjo .
The authorized official title is Ceo/clinical Director and has the following contact phone number (805) 650-3094.

The CLIA number assigned to this NPI record is 05D2196461 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 11/28/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	39848775	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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