Organization
GENERATIONS GROUP HOMES OF GREENVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MARIE ADKINS LPCS (COMPLIANCE DIRECTOR)
(864) 243-5557
Entity
Organization
Contact information
Practice address
820 DUNKLIN BRIDGE RD, FOUNTAIN INN, SC 29644-9725
(864) 243-5557
(864) 243-3339
Mailing address
PO BOX 80009, SIMPSONVILLE, SC 29680-0001
(864) 243-5557
(864) 243-3339
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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