Provider Demographics
NPI:1568845915
Name:GENERATIONSFAMILYGUIDANCE
Entity Type:Organization
Organization Name:GENERATIONSFAMILYGUIDANCE
Other - Org Name:GENERATIONS FAMILY GUIDANCE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:732-309-7022
Mailing Address - Street 1:2560 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1529
Mailing Address - Country:US
Mailing Address - Phone:732-309-7022
Mailing Address - Fax:
Practice Address - Street 1:2560 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1529
Practice Address - Country:US
Practice Address - Phone:732-309-7022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056150001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty