Organization
NU GENESIS YOUTH AND PROFESSIONAL DEVELOPMENT SERVICES, LLC
Active
Other names
Nu Genesis Youth and Professional Development Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE MCLEAN (PRESIDENT AND CEO)
(804) 517-4784
Entity
Organization
Contact information
Practice address
2451 HANOVER CT, WALDORF, MD 20601-5302
(804) 517-4784
Mailing address
2451 HANOVER CT, WALDORF, MD 20601-5302
(804) 517-4784
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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