Provider Demographics
NPI:1932681301
Name:GENUINE CARE YOUTH AND ADULT SERVICES LLC
Entity Type:Organization
Organization Name:GENUINE CARE YOUTH AND ADULT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALRAWAJFEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-273-4000
Mailing Address - Street 1:2750 E WT HARRIS BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-0034
Mailing Address - Country:US
Mailing Address - Phone:704-273-4000
Mailing Address - Fax:
Practice Address - Street 1:2750 E WT HARRIS BLVD STE 121
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-0034
Practice Address - Country:US
Practice Address - Phone:704-273-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Multi-Specialty