Provider Demographics
NPI:1053733576
Name:GENERATIONS UNITED, INC
Entity type:Organization
Organization Name:GENERATIONS UNITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-909-9630
Mailing Address - Street 1:1305 SKYLER DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6757
Mailing Address - Country:US
Mailing Address - Phone:704-909-9630
Mailing Address - Fax:
Practice Address - Street 1:101 POST OFFICE DR
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-7672
Practice Address - Country:US
Practice Address - Phone:704-909-9630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No252Y00000XAgenciesEarly Intervention Provider Agency