Generation Gerannamo INC
NPI #1619741915 in Upper Darby, Pennsylvania
Provider Information
- NPI Number
- 1619741915
- Entity Type
- Organization
- Organization Name
- Generation Gerannamo INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 8, 2023
- Last Updated
- Nov 12, 2023
Practice Location
- Address
- 233 KINGSTON RD
- City
- Upper Darby
- State
- Pennsylvania
- ZIP Code
- 19082-3906
- Phone
- (267) 789-5106
Authorized Official
- Name
- ANTOINETTE JORDAN, MS, MED, LBS
- Title
- CEO
- Phone
- (267) 789-5106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Early Intervention Provider Agency |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Community/Behavioral Health |
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