Provider Demographics
NPI:1255744348
Name:THE PROJECT OF THE QUAD CITIES
Entity type:Organization
Organization Name:THE PROJECT OF THE QUAD CITIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-762-5433
Mailing Address - Street 1:1701 RIVER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-1384
Mailing Address - Country:US
Mailing Address - Phone:309-762-5433
Mailing Address - Fax:309-762-4481
Practice Address - Street 1:1701 RIVER DR STE 110
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-1384
Practice Address - Country:US
Practice Address - Phone:309-762-5433
Practice Address - Fax:309-762-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management