Organization
GENERATIONS HEALTH CARE INITIATIVE INC
Active
Parent organization
GENERATIONS HEALTH CARE INITIATIVE INC
Other names
Fetal Alcohol Diagnostic Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATIONS HEALTH CARE INITIATIVE INC
Authorized official
MR. DANIEL L SVENDSEN (EXECUTIVE DIRECTOR)
(218) 336-5702
Entity
Organization
Contact information
Practice address
5 N 3RD AVE W, SUITE 310, DULUTH, MN 55802
(218) 740-6700
(218) 740-6710
Mailing address
130 W SUPERIOR ST, SUITE 700, DULUTH, MN 55802
(218) 336-5700
(218) 336-5719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
46825
MN
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
07/15/2008
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