Generative Therapy Center LLC

NPI #1861976144 in Ellijay, Georgia

Provider Information

NPI Number
1861976144
Entity Type
Organization
Organization Name
Generative Therapy Center LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 21, 2018
Last Updated
May 17, 2019

Practice Location

Address
968 SUMMIT LN
State
Georgia
ZIP Code
30540-8728
Phone
(646) 582-9774

Authorized Official

Name
MICHEL BORDEAU, LCSW
Title
OWNER
Phone
(646) 582-9774

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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Part of Highland Rivers Center, Csb

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