Provider Demographics
NPI:1982058467
Name:GENERATIONS GROWING TOGETHER, INC
Entity Type:Organization
Organization Name:GENERATIONS GROWING TOGETHER, INC
Other - Org Name:GROWING GENERATIONS OF SOUTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LPC/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LILIA
Authorized Official - Last Name:VARELA-RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-600-6736
Mailing Address - Street 1:1114 N ALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1030
Mailing Address - Country:US
Mailing Address - Phone:956-600-6736
Mailing Address - Fax:956-391-2880
Practice Address - Street 1:600 N FLORES ST STE 2
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-3534
Practice Address - Country:US
Practice Address - Phone:956-600-6736
Practice Address - Fax:956-391-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty