Organization
GENERATIONS HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGYENIM AKUAMOAH-BOATENG LPC LCAS (PROGRAM DIRECTOR)
(910) 291-9909
Entity
Organization
Contact information
Practice address
911 ATKINSON ST, LAURINBURG, NC 28352-4718
(910) 291-9909
(910) 291-9913
Mailing address
PO BOX 1887, LAURINBURG, NC 28353-1887
(910) 291-9909
(910) 291-9913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 083 033
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302175
—
NC
05
—
8302175Q
—
NC
Enumeration date
07/10/2008
Last updated
07/17/2008
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