Organization · Type 2 NPI

New Genesisi Residential Services, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC

NPI number 1275652430 Active

Practice location

300 Downey Pl
Gastonia, NC 28054-3903

Call (704) 691-1526 Map

Mailing address

1613 W Garrison Blvd
Gastonia, NC 28052-3635

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL 036 238 (NC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1275652430

New Genesisi Residential Services, Inc.'s National Provider Identifier is 1275652430, issued on Mar 28, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Gastonia, NC. The record was last updated on Aug 22, 2020.