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Organization

THE GENESIS THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHERINE FAIRFIELD LCPC (DIRECTOR)
(708) 535-7320
Entity
Organization

Contact information

Practice address
6006 WEST 159TH STREET, OAK FOREST, IL 60452-2904
(708) 535-7320
(708) 535-7571
Mailing address
6006 159TH ST, OAK FOREST, IL 60452-2904
(708) 535-7320
(708) 535-7571

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
178.005630
IL

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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