Genesis Youth & Family Services, LLC
Community/Behavioral Health in Charlotte, NC. Organization (NPI-2).
NPI number1497908693
StatusActive
Last updated in NPPESJul 15, 2010
Details
- NPI
- 1497908693
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Youth & Family Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2008
- Last updated
- Jul 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
9700 Research DrSuite 122
Charlotte, NC 28262-8552
Phone 704-940-0036 · Fax 704-598-2632
Mailing address
9700 Research DrSuite 122
Charlotte, NC 28262-8552
Phone 704-940-0036 · Fax 704-598-2632
Authorized official
Teresa Jackson
Ceo/Owner
7049400036
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