Genesis Youth Crisis Center INC
NPI #1033585542 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1033585542
- Entity Type
- Organization
- Organization Name
- Genesis Youth Crisis Center INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 19, 2015
- Last Updated
- Aug 19, 2015
Practice Location
- Address
- 192 SAFE HAVEN DR
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-9103
- Phone
- (304) 622-1907
Authorized Official
- Name
- MATT RUDDER, MBA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (304) 622-1907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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