Organization
GENERATIONAL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANILL MEDINA LMFT (OWNER, CEO)
(201) 357-9885
Entity
Organization
Contact information
Practice address
971 US HIGHWAY 202 N STE 4143, BRANCHBURG, NJ 08876-3757
(201) 357-9885
Mailing address
971 US HIGHWAY 202 N STE 4143, BRANCHBURG, NJ 08876-3757
(201) 357-9885
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/29/2026
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