GENESIS SPORTS MANAGEMENT
NPI 1063726388
Community/Behavioral Health in Charlotte, NC
- Organization
- Community/Behavioral Health
About GENESIS SPORTS MANAGEMENT
This page provides the complete NPI Profile along with additional information for Genesis Sports Management, a provider established in Charlotte, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1063726388 assigned on July 2010. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Derichard Redell Mccoy Sr. (Owner)
- NPI
- 1063726388 Verify this NPI
- Provider Name
- GENESIS SPORTS MANAGEMENT
- Entity Type
- Organization
- Location Address
- 2861 OASIS LN CHARLOTTE, NC 28214
- Location Phone
- (704) 587-2679
- Mailing Address
- 2861 OASIS LN CHARLOTTE, NC 28214
- Mailing Phone
- (704) 587-2679
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2010
- Last Update Date
- 07-28-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063726388, enumerated as an "organization" on July 28, 2010.
The provider is located at 2861 OASIS LN CHARLOTTE, NC 28214 and the phone number is (704) 587-2679.
Community/Behavioral Health with taxonomy code 251S00000X.
