Organization
GENERATIONAL HEALTH
Active
Other names
GENERATIONAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COFFINO (CEO)
(704) 363-8589
Entity
Organization
Contact information
Practice address
719 EAST BLVD, CHARLOTTE, NC 28203-5113
(704) 363-8589
Mailing address
601 W 24TH ST, CHARLOTTE, NC 28206-2516
(704) 363-8589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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