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
Authorized Official
- Name
- MICHEL BORDEAU, LCSW
- Title
- OWNER
- Phone
- (646) 582-9774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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