The Genesis Center

NPI #1225688906 in Elyria, Ohio

Provider Information

NPI Number: 1225688906
Entity Type: Organization
Organization Name: The Genesis Center
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Sep 16, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 457 GRISWOLD RD
City: Elyria
State: Ohio
ZIP Code: 44035-2304
Phone: (440) 406-8006

Authorized Official

Name: LISA MARIE HOLLO, MA ATR LPCC-S
Title: DIRECTOR
Phone: (440) 406-8006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Substance Abuse Rehabilitation Facility	324500000X	Primary

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