Genesis Partial Hospitalization

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Amite, LA

NPI 1811024375 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1811024375
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
GENESIS PARTIAL HOSPITALIZATION
Practice address
10270 Highway 16
Amite, LA 70422-4170
Phone
(985) 748-5280
Fax
(985) 748-5152
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Mrs. Glyniss Gordon
Title
Administrator
Phone
(985) 748-5280

National Provider Directory

Locations

10270 Highway 16
Amite, LA 70422
Phone (985) 748-5280

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LA Yes

Addresses

Primary practice location

10270 Highway 16
Amite, LA 70422-4170

Mailing address

10270 Highway 16
Amite, LA 70422-4170
Phone (985) 748-5280

Other providers in Amite, LA

All providers in Amite, LA · Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

Sources for this page

Verify at the official NPI Registry.