Organization
GENESIS COMMUNITY & FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELL LANCASTER MS QMHP (CEO)
(804) 721-8616
Entity
Organization
Contact information
Practice address
2104 NORTH AVE, RICHMOND, VA 23222-4323
(804) 721-8616
Mailing address
2104 NORTH AVE, RICHMOND, VA 23222-4323
(804) 721-8616
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
S434108-9
VA
251S00000X
Community/Behavioral Health Agency
S434108-9
VA
253Z00000X
In Home Supportive Care Agency
S434108-9
VA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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