| Genesis Community Outreach, Training & Education | |
|
7565 E Eagle Crest Dr Ste 100 Mesa AZ 85207-1041 | |
| (480) 203-6130 | |
| Not Available |
| Full Name | Genesis Community Outreach, Training & Education |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7565 E Eagle Crest Dr Ste 100, Mesa, Arizona |
| Authorized Official Name and Position | John Delorenzo (MANAGING MEMBER) |
| Authorized Official Contact | 4802036130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Community Outreach, Training & Education 7565 E Eagle Crest Dr Ste 100 Mesa AZ 85207-1041 Ph: () - | Genesis Community Outreach, Training & Education 7565 E Eagle Crest Dr Ste 100 Mesa AZ 85207-1041 Ph: (480) 203-6130 |
| NPI Number | 1477249779 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477249779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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