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Genext Life Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Mooresville, North Carolina
NPI 1295513299

Genext Life Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Charlotte, NC. Genext Life Llc practices in Mooresville, NC. The NPI Number for Genext Life Llc is 1295513299 and holds a License No. (North Carolina).

The current practice location address for Genext Life Llc is 113 Vaquaro Dr, Mooresville, NC and can be reached out via phone at 980-705-1190. You can also correspond with Genext Life Llc through the mailing address at 1235 EAST BLVD STE E, CHARLOTTE, NC - 28203-5876 (mailing address contact number: 980-705-1190).

Location: 113 Vaquaro Dr, Mooresville, NC, 28203-5876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295513299
Provider Name
Genext Life Llc
Credential
Provider Entity Type
Organization
Address
113 Vaquaro Dr, Mooresville, NC, 28203-5876
Phone Number
980-705-1190
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
113 Vaquaro Dr
City
Mooresville
State
North Carolina
Zip
28115-0236
Phone Number
980-705-1190
Fax Number
person
Provider Business Mailing Address Details
Address
113 Vaquaro Dr
City
Mooresville
State
North Carolina
Zip
28115-0236
Phone Number
980-705-1190
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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