Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G ROGERS (VP OF FINANCE / CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
PO BOX 4028, ROCK ISLAND, IL 61204-4028
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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