| Organization Name: | GENERATIONS GROUP HOMES OF GREENVILLE, INC |
| NPI Number: | 1336202761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN E REYNOLDS (CONSULTANT) |
| Mailing Address: | 821 Dunklin Bridge Rd Fountain Inn |
| State: | SC US |
| Postal Code: | 296449725 |
| Phone Number: | 8642435557 |
| Fax Number: | 8642435947 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | SR-0008139001-CCI |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |