| NPI | 1215764550 |
|---|---|
| Former Legal Business Name | GENESIS WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ELISABETH PLUTKO COO 724-719-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-01-21 |