Organization · Type 2 NPI
Genesis Integrative Medicine Longevity Center LLC
Community/Behavioral Health Agency · Lake Como, NJ
Practice location
1716 Main St
Lake Como, NJ 07719-3052
Fax (732) 681-1004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
About NPI 1578299558
Genesis Integrative Medicine Longevity Center LLC's National Provider Identifier is 1578299558, issued on Aug 1, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake Como, NJ. The record was last updated on Nov 4, 2022.