| New Genesis Youth & Family Services | |
|
3412 Hilldale Way Suite 23 Charlotte NC 28226-3093 | |
| (704) 543-0023 | |
| Not Available |
| Full Name | New Genesis Youth & Family Services |
|---|---|
| Speciality | Case Management |
| Location | 3412 Hilldale Way, Charlotte, North Carolina |
| Authorized Official Name and Position | Tarshima T Downing (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2035359917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Genesis Youth & Family Services 3412 Hilldale Way Suite 23 Charlotte NC 28226-3093 Ph: () - | New Genesis Youth & Family Services 3412 Hilldale Way Suite 23 Charlotte NC 28226-3093 Ph: (704) 543-0023 |
| NPI Number | 1154572931 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154572931 | NPI | - | NPPES |
| 00000000 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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