| Organization Name: | GENUINE CAREGIVER SUPPORT |
| NPI Number: | 1568849354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDACE DRUMMOND (CEO) |
| Mailing Address: | 6587 Blvd Of Champions North Lauderdale |
| State: | FL US |
| Postal Code: | 330683811 |
| Phone Number: | 9548028185 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2015 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MH13177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |