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1194295840
GENESIS TREATMENT SERVICES, LLC
FREDERICK, MD
NPI
1194295840
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Entity Type
Organization
Authorized Contact
JOEL PRELL
President
240-831-4237
Organization Subpart ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center Methadone
Enumeration Date
2018-11-26
Last Update Date
2020-12-18
Business Address
GENESIS TREATMENT SERVICES, LLC
1160 W PATRICK ST
FREDERICK, MD 21703-3962
Phone number: 240-831-4237
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Mailing Address
GENESIS TREATMENT SERVICES, LLC
PO BOX 194
HAMPSTEAD, MD 21074-0194
Phone number: 410-984-0889
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