Provider Demographics
NPI:1831637354
Name:GENERATIONS INC.
Entity Type:Organization
Organization Name:GENERATIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LCADC
Authorized Official - Phone:856-441-4004
Mailing Address - Street 1:10 FOSTER AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1162
Mailing Address - Country:US
Mailing Address - Phone:856-782-6776
Mailing Address - Fax:856-435-1090
Practice Address - Street 1:113 WHITE HORSE RD W STE 5&6
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3672
Practice Address - Country:US
Practice Address - Phone:856-441-4004
Practice Address - Fax:856-435-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000019-05261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0351521Medicaid
NJ0351512Medicaid