Organization
NIKKI CRECY
Active
Other names
Genesis A New Beginning
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIKKI GIOVANNI CREECY (FACIITY DIRECTOR)
(910) 257-6406
Entity
Organization
Contact information
Practice address
6350 HAWFIELD DR, FAYETTEVILLE, NC 28303-2021
(910) 867-8995
Mailing address
5104 FLAT ROCK DR, FAYETTEVILLE, NC 28311-1585
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL026814
NC
Other
Enumeration date
06/16/2007
Last updated
06/16/2008
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