NPI | 1598117822 |
---|---|
Former Legal Business Name | GENERATIONS COMMUNITY SERVICES |
Entity Type | Organization |
Authorized Contact | LESLIE CARROLL OUSLEY Counselor/CEO 920-228-3199 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2016-07-11 |
Last Update Date | 2016-07-11 |