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Organization
GENERATIONS BEHAVIORAL HEALTH CLINIC, LLC
Active
Organization
GENERATIONS BEHAVIORAL HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE JIVIDEN (CEO)
(234) 232-7500
Entity
Organization
Contact information
Practice address
16 COLONIAL DR, YOUNGSTOWN, OH 44505-2137
(234) 232-7500
(234) 232-7072
Mailing address
196 COLONIAL DR, YOUNGSTOWN, OH 44505-2139
(234) 232-7500
(234) 232-7072
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394177
—
OH
Enumeration date
03/04/2020
Last updated
03/23/2021
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