NPI | 1932757333 |
---|---|
Doing Business As | GENESIS PSYCHOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MARK G ROGERS VP Of Finance / CFO 563-421-6513 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |