Organization
GENESIS COMMUNITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L COLEMAN (CFO)
(336) 491-9983
Entity
Organization
Contact information
Practice address
624 GUILFORD COLLEGE RD STE E, GREENSBORO, NC 27409-2096
(336) 382-9618
Mailing address
624 GUILFORD COLLEGE RD STE E, GREENSBORO, NC 27409-2096
(336) 382-9618
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
11/27/2023
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