| NPI | 1497180244 |
|---|---|
| Doing Business As | GENERATIONS MAIN STREET |
| Entity Type | Organization |
| Authorized Contact | DAVID WAYNE FORSYTHE Executive Director 336-599-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |