Provider Demographics
NPI:1972108827
Name:GENERATION NOW COMMUNITY DEVELOPMENT CENTER, INC.
Entity Type:Organization
Organization Name:GENERATION NOW COMMUNITY DEVELOPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JACQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-415-7097
Mailing Address - Street 1:1713 RALPH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3319
Mailing Address - Country:US
Mailing Address - Phone:718-415-7097
Mailing Address - Fax:718-444-4322
Practice Address - Street 1:1713 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3319
Practice Address - Country:US
Practice Address - Phone:718-415-7097
Practice Address - Fax:718-444-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management