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Organization

GENERATIONAL GRACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TINA D FLAX (ADMINISTRATOR)
(856) 906-2991
Entity
Organization

Contact information

Practice address
971 US HIGHWAY 202 N STE R, BRANCHBURG, NJ 08876-3757
(732) 365-8300
(856) 379-3440
Mailing address
2230 RT 70 W STE 2, #1013, CHERRY HILL, NJ 08002-3338
(908) 758-3576

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/16/2025
Last updated
04/12/2026
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