Genesis Substance Abuse Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

100043AN Issued in CA

Legal business name

GENESIS SUBSTANCE ABUSE SERVICES

Practice address

7475 N Palm Ave
Fresno, CA 93711-5763

Phone

(559) 439-5437

Fax

(559) 439-5411

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ronald Hill, CERTIFICATE

Title

Counselor

Phone

(559) 439-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1801088513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115763",
            "telephone_number": "559-439-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115763",
            "telephone_number": "559-439-5437",
            "fax_number": "559-439-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SUBSTANCE ABUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "559-439-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100043AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "261QR0800X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Family Center
• Genesis Family Center
• Genesis Family Center
• Genesis Family Center
• Genesis Family Center
• Genesis Substance Abuse Services
• Antonia Gennock, MS, RD
• Erin Gennuso
• Genoa Healthcare LLC
• Genova Genetics Lab LLC

• Community/Behavioral Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.