# FIRST GENESIS FAMILY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780913970
- **Authorized official:** MISS WILLETTE CARRINGTON (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (336) 292-1555

## Contact information

- **Practice address:** 4821 BISBEE DR, GREENSBORO, NC 27407-9710
- **Practice address phone:** (336) 292-1555
- **Mailing address:** 1903 DELMAR DR, GREENSBORO, NC 27406-6113
- **Mailing address phone:** (336) 292-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-728 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-837 | NC | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-041-728 | NC | — |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-041-837 | NC | — |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 09/16/2015