Organization
GENERATIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA BEDWARD LCSW,LCADC (DIRECTOR)
(856) 441-4004
Entity
Organization
Contact information
Practice address
113 WHITE HORSE RD W STE 5&6, VOORHEES, NJ 08043-3672
(856) 441-4004
(856) 435-1090
Mailing address
10 FOSTER AVE STE 1A, GIBBSBORO, NJ 08026-1162
(856) 782-6776
(856) 435-1090
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000019-05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351512
—
NJ
05
—
0351521
—
NJ
Enumeration date
02/03/2017
Last updated
07/29/2017
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