NPI 1023526209

Genesis Rehabilitation Center, LLC

Organisation Substance Abuse Rehabilitation Facility Los Angeles, CA

Practice location

Address: 3440 Wilshire Blvd STE 909, Los Angeles, CA 90010-2101
Phone: (213) 739-9982
Fax: (213) 739-9983

Authorised official

Name: George Moreno
Title: Program Director
Phone: (213) 739-9982

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in California →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 190039AP (CA)

Other Counselor providers in California →

Registry record

NPI: 1023526209
Entity type: Organization
NPI issued: 22 Jan 2018
Record last updated: 10 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.