NPI | 1861697203 |
---|---|
Doing Business As | GENESIS A NEW BEGINNING |
Entity Type | Organization |
Authorized Contact | NIKKI GIOVANNI CREECY Faciity Director 910-257-6406 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL026814) |
Enumeration Date | 2007-06-16 |
Last Update Date | 2008-06-16 |