Organization
GENOA, A QOL HEALTHCARE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY GREKULA (PHARMACIST)
(860) 785-6052
Entity
Organization
Contact information
Practice address
287 MAIN ST STE A2, EAST HARTFORD, CT 06118-1885
(860) 249-8645
Mailing address
287 MAIN ST STE A2, EAST HARTFORD, CT 06118-1885
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0013767
CT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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