Organization
GENERATION CHANGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERRY DENISE HAMRICK (OWNER)
(704) 756-3425
Entity
Organization
Contact information
Practice address
2100 ELON CT, ELON, NC 27244-9771
(336) 586-7060
(336) 586-7062
Mailing address
6619 WICKED OAK LN, CHARLOTTE, NC 28216-8838
(704) 756-3425
(336) 586-7062
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-001-136
NC
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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