Genesis Youth Crisis Center, Inc.
NPI #1609383298 in Parsons, West Virginia
Provider Information
- NPI Number
- 1609383298
- Entity Type
- Organization
- Organization Name
- Genesis Youth Crisis Center, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 4, 2018
- Last Updated
- Jan 4, 2018
Practice Location
- Address
- 413 CHESTNUT STREET
- City
- Parsons
- State
- West Virginia
- ZIP Code
- 26287
- Phone
- (304) 709-7020
Authorized Official
- Name
- EDWARD MATTHEW RUDDER
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (304) 622-1907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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