# GENERATION CHANGE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255473161
- **Authorized official:** MRS. CHERRY DENISE HAMRICK (OWNER)
- **Authorized official phone:** (704) 756-3425

## Contact information

- **Practice address:** 2100 ELON CT, ELON, NC 27244-9771
- **Practice address phone:** (336) 586-7060
- **Practice address fax:** (336) 586-7062
- **Mailing address:** 6619 WICKED OAK LN, CHARLOTTE, NC 28216-8838
- **Mailing address phone:** (704) 756-3425
- **Mailing address fax:** (336) 586-7062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-001-136 | NC | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020