| Genesis Behavioral Services Incorporated | |
|
25701 N Lakeland Blvd Ste 403 Euclid OH 44132-2453 | |
| (216) 273-7000 | |
| (216) 273-7371 |
| Full Name | Genesis Behavioral Services Incorporated |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 25701 N Lakeland Blvd Ste 403, Euclid, Ohio |
| Authorized Official Name and Position | Nabil Abouriche (CEO) |
| Authorized Official Contact | 2162737000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Services Incorporated 25701 N Lakeland Blvd Ste 403 Euclid OH 44132-2453 Ph: (216) 273-7000 | Genesis Behavioral Services Incorporated 25701 N Lakeland Blvd Ste 403 Euclid OH 44132-2453 Ph: (216) 273-7000 |
| NPI Number | 1093351579 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093351579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
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