Genesis Family Home
NPI #1013132620 in Kannapolis, North Carolina
Provider Information
- NPI Number
- 1013132620
- Entity Type
- Organization
- Organization Name
- Genesis Family Home
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 1224 MILTON AVE
- City
- Kannapolis
- State
- North Carolina
- ZIP Code
- 28081-5444
- Phone
- (704) 793-9593
Authorized Official
- Name
- MR. JOHN KENNEDY EDMOND SR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (704) 793-9593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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