Genesis Recovery Center, LLC
Community/Behavioral Health in Ruston, LA. Organization (NPI-2).
NPI number1760015713
StatusActive
Last updated in NPPESFeb 18, 2020
Details
- NPI
- 1760015713
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Recovery Center, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- Feb 18, 2020
- Last updated
- Feb 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
3138 Highway 818Ruston, LA 71270-1370
Phone 318-278-2793
Mailing address
3138 Highway 818Ruston, LA 71270-1370
Phone 318-278-2793
Authorized official
Christopher H Salter
Clinical Director
3182514659
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