Organization
GENERATION STATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA Y MCCROREY (CO-OWNER)
(856) 467-6687
Entity
Organization
Contact information
Practice address
545 BECKETT RD, SUITE 105-106, LOGAN TOWNSHIP, NJ 08085-1547
(856) 467-6687
(856) 467-8636
Mailing address
545 BECKETT RD, SUITE 105-106, LOGAN TOWNSHIP, (SWEDESBORO), NJ 08085
(856) 467-6687
(856) 467-8636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Enumeration date
07/18/2013
Last updated
06/12/2014
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