Organization
GENESIS PROJECT 1, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY CHANIESE FRANCIS LMFTA (CLINICAL TEAM LEAD, COUNSELOR II)
(704) 778-6141
Entity
Organization
Contact information
Practice address
5108 REAGAN DR STE 14, CHARLOTTE, NC 28206-1395
(704) 596-0505
Mailing address
1015 PINEBOROUGH RD, CHARLOTTE, NC 28212-7050
(704) 778-6141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8083A
NC
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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