Organization · Type 2 NPI

Genesis Family Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Concord, NC

NPI number 1649495243 Active

Practice location

514 Todd Dr NE
Concord, NC 28025-3135

Call (704) 793-9593 Map

Mailing address

1036 Branchview Dr, Suite 201
Concord, NC 28025-2998

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-013-060 (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 1649495243

Genesis Family Home's National Provider Identifier is 1649495243, issued on Apr 17, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Concord, NC. The record was last updated on Jul 30, 2008.