Organization
THE GENESIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HOLLO MA ATR LPCC-S (DIRECTOR)
(440) 406-8006
Entity
Organization
Contact information
Practice address
457 GRISWOLD RD, ELYRIA, OH 44035-2304
(440) 406-8006
(440) 406-8097
Mailing address
457 GRISWOLD RD, ELYRIA, OH 44035-2304
(440) 406-8006
(440) 406-8097
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
11/13/2019
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