Organization
GENERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JOSEPH ROACH (OWNER)
(207) 459-8378
Entity
Organization
Contact information
Practice address
912 MAIN ST., WATERBORO, ME 04087
(207) 459-8378
Mailing address
1646 BRANCH RD. APT. D, WELLS, ME 04090
(207) 459-8378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
ME
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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