| Genesisdwiservices | |
|
35 W Davie St Raleigh NC 27601-1732 | |
| (919) 321-6643 | |
| (919) 321-8930 |
| Full Name | Genesisdwiservices |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 35 W Davie St, Raleigh, North Carolina |
| Authorized Official Name and Position | Gregory Dockery (OPERATIONS MANAGER) |
| Authorized Official Contact | 9193216643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesisdwiservices 35 W Davie St Raleigh NC 27601-1732 Ph: (919) 321-6643 | Genesisdwiservices 35 W Davie St Raleigh NC 27601-1732 Ph: (919) 321-6643 |
| NPI Number | 1043699739 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043699739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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