Genesis House
Genesis House is an Addiction (Substance Use Disorder) Counselor in Vallejo, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1149 Warren AveVallejo, CA 94591-7512
Phone: (707) 552-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1841954856 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kester McDonald — Executive Director · (707) 552-5295 |
| NPI enumerated | October 26, 2021 |
| Last updated in NPPES | November 1, 2021 |
| Certification date | November 1, 2021 |
| Mailing address | 1149 Warren Ave, Vallejo, CA 94591-7512 |
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Monica Guadalupe Fraire
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John Thomas Freitas
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