NPI 1013132620

Genesis Family Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kannapolis, NC

Practice location

Address: 1224 Milton Ave, Kannapolis, NC 28081-5444
Phone: (704) 793-9593
Mailing address: 1036 Branchview Dr Suite 201, Concord, NC 28025-2998

Authorised official

Name: John Kennedy Edmond
Title: Executive Director
Phone: (704) 793-9593

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence MHL-013-107 (NC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1013132620
Entity type: Organization
NPI issued: 17 Apr 2007
Record last updated: 30 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.