# GENESIS BEHAVIORAL SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093351579
- **Authorized official:** NABIL ABOURICHE (CEO)
- **Authorized official phone:** (216) 273-7000

## Contact information

- **Practice address:** 25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
- **Practice address phone:** (216) 273-7000
- **Practice address fax:** (216) 273-7371
- **Mailing address:** 25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
- **Mailing address phone:** (216) 273-7000
- **Mailing address fax:** (216) 273-7371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |

## Other

- **Enumeration date:** 11/20/2019
- **Last updated:** 07/28/2021