Organization
GENESIS COUNSELING SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ROBIDEAU (CLINICAL DIRECTOR)
(508) 620-2992
Entity
Organization
Contact information
Practice address
24 UNION AVE STE 11, FRAMINGHAM, MA 01702-8287
(508) 620-2992
(508) 620-2993
Mailing address
24 UNION AVE STE 11, FRAMINGHAM, MA 01702-8287
(508) 620-2992
(508) 620-2993
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310771
—
MA
01
—
2223027240
BLUE CROSS ANDBLUE SHIELD
MA
Enumeration date
02/23/2007
Last updated
10/15/2024
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