| Genesis Youth Crisis Center, Inc. | |
|
591 Pressley Ridge Rd Clarksburg WV 26301-7024 | |
| (304) 709-7020 | |
| (681) 399-9115 |
| Full Name | Genesis Youth Crisis Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 591 Pressley Ridge Rd, Clarksburg, West Virginia |
| Authorized Official Name and Position | Scott Mayer (CQI SPECIALIST) |
| Authorized Official Contact | 3046221907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Youth Crisis Center, Inc. 192 Safe Haven Dr Clarksburg WV 26301-9103 Ph: (304) 622-1907 | Genesis Youth Crisis Center, Inc. 591 Pressley Ridge Rd Clarksburg WV 26301-7024 Ph: (304) 709-7020 |
| NPI Number | 1255081675 |
|---|---|
| Provider Enumeration Date | 03/28/2022 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255081675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Genesis Youth Crisis Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Safe Haven Dr, Clarksburg, WV 26301 Phone: 304-622-1907 Fax: 304-623-9346 | |
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