Organization
GENSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVA WILLIAMS (CEO)
(225) 364-1886
Entity
Organization
Contact information
Practice address
11721 MARKET PLACE AVE, BATON ROUGE, LA 70816-6012
(225) 364-1886
Mailing address
11721 MARKET PLACE AVE, BATON ROUGE, LA 70816-6012
(225) 364-1886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
09/30/2013
Last updated
02/05/2016
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