Organization
THE GENESIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHEAMO R. WITCHER MCP (PRESIDENT/CEO)
(401) 781-6110
Entity
Organization
Contact information
Practice address
620 POTTERS AVE, PROVIDENCE, RI 02907-2931
(401) 781-6110
(401) 461-8788
Mailing address
620 POTTERS AVE, PROVIDENCE, RI 02907-2931
(401) 781-6110
(401) 461-8788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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