| The Genesis Center | |
|
620 Potters Ave Providence RI 02907-2931 | |
| (401) 781-6110 | |
| (401) 461-8788 |
| Full Name | The Genesis Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 620 Potters Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Pheamo R. Witcher (PRESIDENT/CEO) |
| Authorized Official Contact | 4017816110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Genesis Center 620 Potters Ave Providence RI 02907-2931 Ph: (401) 781-6110 | The Genesis Center 620 Potters Ave Providence RI 02907-2931 Ph: (401) 781-6110 |
| NPI Number | 1295028272 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295028272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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