Organization
GENESIS INC. OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE SMITH (OWNER/PRESIDENT)
(252) 353-0127
Entity
Organization
Contact information
Practice address
609 COUNTRY CLUB DR, SUITE D, GREENVILLE, NC 27834-6208
(252) 353-0127
Mailing address
609 COUNTRY CLUB DR, SUITE D, GREENVILLE, NC 27834-6208
(252) 353-0127
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
09/02/2011
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