Organization
GENERATIONS RECOVERY SERVICES LLC
Active
Other names
NEW WAY Treatment Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ANNETTE NELSON MA, BS, LADC (EXECUTIVE DIRECTOR)
(651) 227-8224
Entity
Organization
Contact information
Practice address
155 WABASHA ST S STE 122, SAINT PAUL, MN 55107-1822
(512) 278-2246
(651) 227-8210
Mailing address
220 SOUTH SAINT PAUL, SAINT PAUL, MN 55107
(612) 517-7218
(651) 340-5332
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1090552
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1090552
CHEMICAL DEPENDENCY IOP PROGRAM
MN
01
—
528723
IOP CHEMICAL DEPENDENCY PROGRAM
MN
Enumeration date
12/27/2017
Last updated
01/19/2023
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