| Genesis House Harrisburg | |
|
2901 N Sixth Street Harrisburg PA 17102 | |
| (717) 236-3126 | |
| (717) 920-5426 |
| Full Name | Genesis House Harrisburg |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2901 N Sixth Street, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | James R Desanto (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5703220520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis House Harrisburg 2901 N Sixth Street Harrisburg PA 17102 Ph: (717) 236-3126 | Genesis House Harrisburg 2901 N Sixth Street Harrisburg PA 17102 Ph: (717) 236-3126 |
| NPI Number | 1609976661 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609976661 | NPI | - | NPPES |
| 1007283800004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 227060 (Pennsylvania) | Primary |
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