NPI 1093727893

Genesishouse, INC.

Organisation Case Management Agency Gastonia, NC

Practice location

Address: 549 Cox Rd Suite a, Gastonia, NC 28054-0628
Phone: (704) 852-3778
Fax: (704) 853-8751
Mailing address: PO Box 551389, Gastonia, NC 28055-1389

Authorised official

Name: Kelvin Fernandez Hall
Title: President
Phone: (704) 852-3778

Registered specialties (2)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in North Carolina →

Prescribing (Medical) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TP0016X Licence 9401389 (NC)

Other Psychologist providers in North Carolina →

Registry record

NPI: 1093727893
Entity type: Organization
NPI issued: 12 Aug 2006
Record last updated: 29 Jun 2011

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.