Organization
NEOGENESIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENDRICK JUVAN BRITTON SR. (OWNER)
(252) 717-4074
Entity
Organization
Contact information
Practice address
500 DEXTER ST, SUITE B, GREENVILLE, NC 27834-6318
(252) 717-4074
Mailing address
500 DEXTER ST, SUITE B, GREENVILLE, NC 27834-6318
(252) 717-4074
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2008
Last updated
03/23/2011
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