Genesis Behavorial Services, Inc

NPI 1043588254 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1043588254
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KIMBERLY A KIMBERLY
Position DIRECTOR
Phone (262) 338-8611
Fax (262) 338-3367
Practice Location
1626 CLARENCE CT
WEST BEND WI, 53095-8533, US
Phone (262) 338-8611
Fax (262) 338-3367
Business Location
1626 CLARENCE CT
WEST BEND WI, 53095-8533, US
Phone (262) 338-8611
Fax (262) 338-3367
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 16431 - 130
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According to our database, Genesis Behavorial Services, Inc NPI is 1043588254, taxonomy code is 251S00000X and license number is 16431 - 130, license state is located at Wisconsin. Genesis Behavorial Services, Inc physically located at 1626 Clarence Ct, West Bend WI, 53095-8533. NPI Number 1033115704 has the healthcare provider type.

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1043588254 NPI number is provided on an as is basis without warranty of any kind. 1043588254 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Behavorial Services, Inc are for informational purposes only.