Organization · Type 2 NPI
Genesis Community Resource Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · St. John, IN
Practice location
11616 Barberry Ct
St. John, IN 46373-9690
Mailing address
320 W Ridge Rd
Gary, IN 46408-2735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1013231117
Genesis Community Resource Center's National Provider Identifier is 1013231117, issued on Mar 17, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in St. John, IN. The record was last updated on Mar 17, 2010.