Provider Demographics
NPI:1831953637
Name:GENERATIONS TO COME CENTER LLC.
Entity type:Organization
Organization Name:GENERATIONS TO COME CENTER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAKITA
Authorized Official - Middle Name:DENA
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-699-1700
Mailing Address - Street 1:901 GUNN RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-6654
Mailing Address - Country:US
Mailing Address - Phone:229-699-1700
Mailing Address - Fax:
Practice Address - Street 1:901 GUNN RD STE 1000
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-6654
Practice Address - Country:US
Practice Address - Phone:229-699-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty