Organization
GENESIS PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CURTIS (PRESIDENT)
(336) 289-7235
Entity
Organization
Contact information
Practice address
1018 GRACE ST, HIGH POINT, NC 27260-8131
(336) 882-9510
(336) 882-9510
Mailing address
PO BOX 2451, HIGH POINT, NC 27261-2451
(336) 289-7235
(336) 289-7235
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL041667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603636
—
NC
05
—
8301382
—
NC
Enumeration date
11/30/2006
Last updated
08/22/2020
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