| Organization Name: | GENERATIONS FAMILY HEALTH CENTER, INC. |
| NPI Number: | 1164759015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARVIND SHAW (CEO) |
| Mailing Address: | 322 Main St Willimantic |
| State: | CT US |
| Postal Code: | 062263152 |
| Phone Number: | 8604500585 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2009 |
| NPI Last Update Date: | 11/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 0467 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |