NPI:
1114637691
Provider Name:
GENESIS RECOVERY AND WELLNESS OF OHIO
Doing Business As: GENESIS RECOVERY & WELLNESS OF OHIO, LLC
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 36D2267375
Address:
18051 JEFFERSON PARK RD STE 106
MIDDLEBURG HEIGHTS, OH
ZIP 44130
Phone:
(330) 443-0389
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GENESIS RECOVERY AND WELLNESS OF OHIO is a rehabilitation and substance use disorder clinic center in Middleburg Heights, OH. GENESIS RECOVERY AND WELLNESS OF OHIO NPI is 1114637691. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Recovery & Wellness Of Ohio, Llc.
The provider's business location address is:
18051 JEFFERSON PARK RD STE 106
MIDDLEBURG HEIGHTS, OH
ZIP 44130-460
Phone: (330) 443-0389
The provider's authorized official is Mitchell Ozeri .
The authorized official title is Ceo and has the following contact phone number (516) 528-5115.
The CLIA number assigned to this NPI record is 36D2267375 - other - outpt d&a facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/25/2022 and was last updated on 12/16/2022.