Organization
GENESIS MIND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY HARDING JUNKER JR. (PRESIDENT)
(336) 493-4712
Entity
Organization
Contact information
Practice address
2020 NEW GARDEN RD STE D, GREENSBORO, NC 27410-2488
(336) 493-4712
Mailing address
2020 NEW GARDEN RD STE D, GREENSBORO, NC 27410-2488
(336) 493-4712
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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