institution
First Genesis Group Home (dba) Bisbee Place
Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, North Carolina
NPI 1528255767

First Genesis Group Home (dba) Bisbee Place is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Greensboro, NC. First Genesis Group Home (dba) Bisbee Place practices in Greensboro, NC. The NPI Number for First Genesis Group Home (dba) Bisbee Place is 1528255767 and holds a License No. 4173 (North Carolina).

The current practice location address for First Genesis Group Home (dba) Bisbee Place is 4821 Bisbee Dr, Greensboro, NC and can be reached out via phone at 336-292-1555 and via fax at 336-274-6608. You can also correspond with First Genesis Group Home (dba) Bisbee Place through the mailing address at 4309 PENTON PLACE, GREENSBORO, NC - 27455-1920 (mailing address contact number: 336-292-1555).

Location: 4821 Bisbee Dr, Greensboro, NC, 27455-1920
institution
Provider Profile Details
NPI Number
1528255767
Provider Name
First Genesis Group Home (dba) Bisbee Place
Credential
Provider Entity Type
Organization
Address
4821 Bisbee Dr, Greensboro, NC, 27455-1920
Phone Number
336-292-1555
Fax Number
336-274-6608
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4821 Bisbee Dr
City
State
Zip
27407-9710
Phone Number
336-292-1555
Fax Number
336-274-6608
person
Provider Business Mailing Address Details
Address
4821 Bisbee Dr
City
State
Zip
27407-9710
Phone Number
336-292-1555
Fax Number
336-274-6608
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003386 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
4173 (North Carolina)
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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