{
"Npi": {
"NPI": "1952507782",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "BEACON MANAGEMENT",
"ParentOrgTIN": null,
"OrgName": "GENERATIONS BEHAVIORAL HEALTH, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9938 AIRLINE HWY",
"SecondLineMailingAddress": "SUITE 200",
"MailingAddressCityName": "BATON ROUGE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70816-8100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-810-4040",
"MailingAddressFaxNumber": "225-810-4050",
"FirstLinePracticeLocationAddress": "10425 PLAZA AMERICANA DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BATON ROUGE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70816-8188",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-810-4719",
"PracticeLocationAddressFaxNumber": "225-810-4722",
"EnumerationDate": "06/27/2007",
"LastUpdateDate": "04/16/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WENDELL",
"AuthorizedOfficialFirstName": "PHILLIP",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "225-810-4040",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0801X",
"TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}