Organization
GENESIS BEHAVIORAL SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL ABOURICHE (PRESIDENT)
(216) 273-7000
Entity
Organization
Contact information
Practice address
25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
(949) 500-3155
Mailing address
25701 N LAKELAND BLVD STE 403, EUCLID, OH 44132-2453
(216) 273-7000
(216) 273-7371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377389
—
OH
Enumeration date
04/02/2019
Last updated
07/27/2021
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