Organization
ALL GENERATIONS SOCIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VENTOUR LMSW (PRESIDENT-CEO)
(803) 283-0576
Entity
Organization
Contact information
Practice address
679 LANCASTER BYP E, LANCASTER, SC 29720-4727
(803) 283-0576
(803) 283-0903
Mailing address
679 LANCASTER BYP E, LANCASTER, SC 29720-4727
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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