Genuine Care Youth and Adult Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GENUINE CARE YOUTH AND ADULT SERVICES LLC

Practice address

2750 E WT Harris Blvd Ste 121
Charlotte, NC 28213-0034

Phone

(704) 273-4000

NPI assigned

Sep 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed Alrawajfeh

Title

Director

Phone

(704) 273-4000

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535932800000",
    "number": "1932681301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD STE 121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282130034",
            "telephone_number": "704-273-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD STE 121",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282130034",
            "telephone_number": "704-273-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE CARE YOUTH AND ADULT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A",
        "authorized_official_last_name": "ALRAWAJFEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-273-4000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.