Genesis Dtc, LLC
NPI #1942686258 in Genoa, Illinois
Provider Information
- NPI Number
- 1942686258
- Entity Type
- Organization
- Organization Name
- Genesis Dtc, LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Aug 10, 2015
- Last Updated
- Aug 10, 2015
Practice Location
Authorized Official
- Name
- DESIREE A JOHNSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (815) 784-5146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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