Genesis Family Home
Genesis Family Home is an Emotionally Disturbed Childrens' Residential Treatment Facility in Concord, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
484 Cook St NWConcord, NC 28025-4441
Phone: (704) 793-9593
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence MHL-013-096 (NC) |
|---|
Record details
| NPI number | 1104044353 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Edmond — Executive Director · (704) 793-9593 |
| NPI enumerated | April 23, 2007 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 1036 Branchview Dr, Suite, Concord, NC 28025-2998 |
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