Generation Station LLC
NPI #1558703660 in Logan Township, New Jersey
Provider Information
- NPI Number
- 1558703660
- Entity Type
- Organization
- Organization Name
- Generation Station LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 18, 2013
- Last Updated
- Jun 12, 2014
Practice Location
- Address
- 545 BECKETT RD
- Address 2
- SUITE 105-106
- City
- Logan Township
- State
- New Jersey
- ZIP Code
- 08085-1547
- Phone
- (856) 467-6687
Authorized Official
- Name
- MRS. CARLA Y MCCROREY
- Title
- CO-OWNER
- Phone
- (856) 467-6687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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