# GENERATIONS GROUP HOMES OF GREENVILLE, INC

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

## Provider details

- **NPI number:** 1457770661
- **Authorized official:** MS. KIMBERLY MARIE ADKINS LPCS (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (864) 243-5557

## Contact information

- **Practice address:** 820 DUNKLIN BRIDGE RD, FOUNTAIN INN, SC 29644-9725
- **Practice address phone:** (864) 243-5557
- **Practice address fax:** (864) 243-3339
- **Mailing address:** PO BOX 80009, SIMPSONVILLE, SC 29680-0001
- **Mailing address phone:** (864) 243-5557
- **Mailing address fax:** (864) 243-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/15/2014
