Organization Name: | GENERATIONS COUNSELING & CARE MANAGEMENT LLC |
NPI Number: | 1437109311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI S DOUECK (PRESIDENT/CEO) |
Mailing Address: | 336 W Passaic St 2nd Floor Rochelle Park |
State: | NJ US |
Postal Code: | 076623027 |
Phone Number: | 2018457030 |
Fax Number: | 2018450899 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |