NPI 1033585542
Genesis Youth Crisis Center INC
Practice location
- Address
- 192 Safe Haven Dr, Clarksburg, WV 26301-9103
- Phone
- (304) 622-1907
- Fax
- (304) 623-9346
- Mailing address
- PO Box 546, Clarksburg, WV 26302-0546
Authorised official
- Name
- Matt Rudder
- Title
- Chief Executive Officer
- Phone
- (304) 622-1907
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1033585542
- Entity type
- Organization
- NPI issued
- 19 Aug 2015
- Record last updated
- 19 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.