| Genesis House, Inc. | |
|
2 E Main St Elizabethville PA 17023-2026 | |
| (717) 232-6981 | |
| (717) 232-6980 |
| Full Name | Genesis House, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2 E Main St, Elizabethville, Pennsylvania |
| Authorized Official Name and Position | Heather E Bridges (CEO/DIRECTOR) |
| Authorized Official Contact | 7172326981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis House, Inc. 2 E Main St Elizabethville PA 17023-2026 Ph: (717) 232-6981 | Genesis House, Inc. 2 E Main St Elizabethville PA 17023-2026 Ph: (717) 232-6981 |
| NPI Number | 1366982274 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366982274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 227092 (Pennsylvania) | Primary |
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