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Organization
GENERATIONAL RESOURCES LLC
Active
Organization
GENERATIONAL RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISA STANLEY (CREDENTIALING SPECIALIST)
(404) 827-8038
Entity
Organization
Contact information
Practice address
5811 BELLINGRATH WAY, LITHONIA, GA 30058
(404) 788-9237
Mailing address
5811 BELLINGRATH WAY, LITHONIA, GA 30058-3209
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2020
Last updated
03/20/2024
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