Organization
NEW GENESIS YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSHIMA T DOWNING (EXECUTIVE DIRECTOR)
(203) 535-9917
Entity
Organization
Contact information
Practice address
3412 HILLDALE WAY, SUITE 23, CHARLOTTE, NC 28226-3093
(704) 543-0023
Mailing address
3412 HILLDALE WAY, SUITE 23, CHARLOTTE, NC 28226-3093
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
NC
Enumeration date
10/09/2008
Last updated
10/09/2008
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