Organization
GENESIS TWO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE T WILLIAMS ED.S (DIRECTOR)
(919) 829-9235
Entity
Organization
Contact information
Practice address
909 ROXY ST, RALEIGH, NC 27610-5664
(919) 829-9235
Mailing address
909 ROXY ST, RALEIGH, NC 27610-5664
(919) 829-9235
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
12/20/2009
Last updated
12/20/2009
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