Genesis...A New Beginning

LBN: Genesis...A New Beginning
Genesis...A New Beginning is an health care organization with primary practice located at 245 Le Phillip Ct Ne , Concord NC 28025-2900. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Genesis...A New Beginning can be contacted via phone (704) 720-7770, or through Wise, Donna B via phone (704) 720-7770.

Contact Information

Primary practice address
245 Le Phillip Ct Ne Concord NC 28025-2900
Phone: (704) 720-7770
Fax: (704) 973-9187
Website:
Map and Directions
Authorized official contact:
Name: Wise, Donna B
Phone: (704) 720-7770

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MHL-013-124 North Carolina

Profile Details

NPI number 1144311853
LBN Legal business name Genesis...A New Beginning
DBA Doing business as
Authorized official Wise, Donna B
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144311853 NPPES
North Carolina MEDICAID 6005393

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