Organization
GENYSIS RESTORATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETHEL YVONNE MIDDLEBROOKS MAPC (PASTORAL COUNSELOR)
(216) 299-8789
Entity
Organization
Contact information
Practice address
27801 EUCLID AVE, SUITE 458, EUCLID, OH 44132-3549
(216) 299-8789
Mailing address
27801 EUCLID AVENUE, SUITE 458, EUCLID, OH 44132
(216) 299-8789
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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