Organization · NPI-2
1st Genesis Treatment Center INC
Clinic/Center, Rehabilitation, Substance Use Disorder · Dublin, GA
NPI number1265277073
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1265277073
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Genesis Treatment Center INC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2024
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM2800X | Clinic/Center, Methadone Clinic | – | – |
Practice location
1022 Hillcrest Pkwy Ste 100Dublin, GA 31021-4258
Phone 478-272-5020 · Fax 478-272-5024
Mailing address
1022 Hillcrest Pkwy Ste 100Dublin, GA 31021-4258
Phone 478-272-5020 · Fax 478-272-5024
Authorized official
Nathaniel Veal
Owner
4783617077
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