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Organization
GENERATIONS RESIDENTIAL PROGRAMS, INC.
Active
Organization
GENERATIONS RESIDENTIAL PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN REYNOLDS (CEO)
(864) 243-5557
Entity
Organization
Contact information
Practice address
841 DUNKLIN BRIDGE ROAD, FOUNTAIN INN, SC 29644-9725
(864) 243-5557
Mailing address
PO BOX 80009, SIMPSONVILLE, SC 29680-0001
(864) 243-5557
(864) 243-3339
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
PENDING
SC
Other
Enumeration date
07/19/2011
Last updated
03/07/2012
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