MEDICARE: GNUS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1568062115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GNUS CORPORATION

Provider Business Mailing Address
First Line	:	17140 SHANDS RD
Second Line	:
City	:	SOUTH PRINCE GEORGE
State	:	VA
Zip	:	23805-8537
Country	:	US
Telephone Number	:	571-921-7162
Fax Number	:

Provider Business Practice Location Address
First Line	:	17140 SHANDS RD
Second Line	:
City	:	SOUTH PRINCE GEORGE
State	:	VA
Zip	:	23805-8537
Country	:	US
Telephone Number	:	571-921-7162
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	FRANCINE ROSE WILLIAMS
Credential	:
Telephone Number	:	571-606-8037

Provider Enumeration Date	:	10/31/2020
Last Update Date	:	02/03/2025

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Directions to “GNUS CORPORATION ” Practice Location

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