| The Genesis Center | |
|
457 Griswold Rd Elyria OH 44035-2304 | |
| (440) 406-8006 | |
| Not Available |
| Full Name | The Genesis Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 457 Griswold Rd, Elyria, Ohio |
| Authorized Official Name and Position | Lisa Marie Hollo (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4404068006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Genesis Center 457 Griswold Rd Elyria OH 44035-2304 Ph: (440) 406-8006 | The Genesis Center 457 Griswold Rd Elyria OH 44035-2304 Ph: (440) 406-8006 |
| NPI Number | 1235779893 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235779893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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