OrganizationActive
Generations Alternative Program, Inc
NPI 1467598631 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fountain Inn, SC
Provider details
- NPI number
- 1467598631
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Reynolds, Ceo(864) 243-5557
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
820 Dunklin Bridge Rd
Fountain Inn, SC 29644-9725
Phone: (864) 243-5557
Fax: (864) 243-5947
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 80009
Simpsonville, SC 29680-0001
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.