Organization
GENERATIONS BEHAVIORAL HEALTH, INC.
Active
Parent organization
BEACON MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON MANAGEMENT
Authorized official
MR. PHILLIP S WENDELL (CEO)
(225) 810-4040
Entity
Organization
Contact information
Practice address
10425 PLAZA AMERICANA DR, BATON ROUGE, LA 70816-8188
(225) 810-4719
(225) 810-4722
Mailing address
9938 AIRLINE HWY, SUITE 200, BATON ROUGE, LA 70816-8100
(225) 810-4040
(225) 810-4050
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365602
—
LA
01
—
194713
MEDICARE
LA
Enumeration date
06/27/2007
Last updated
04/16/2010
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