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Organization

GENERATIONS BEHAVIORAL HEALTH-GENEVA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD ARDELL STACK (CHIEF EXECUTIVE OFFICER)
(615) 298-2932
Entity
Organization

Contact information

Practice address
60 WEST ST, GENEVA, OH 44041-9723
(440) 415-0794
Mailing address
60 WEST ST, GENEVA, OH 44041-9723
(440) 415-0794

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
OH

Other

Enumeration date
03/11/2015
Last updated
03/11/2015
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