Organization
GENERATION CHANGERS ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENELL ECHOLS (C.E.O.)
(504) 377-2793
Entity
Organization
Contact information
Practice address
3010 BRECKENRIDGE FOREST CT, SPRING, TX 77373-5896
(504) 377-2793
Mailing address
3010 BRECKENRIDGE FOREST CT, SPRING, TX 77373-5896
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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