Genesis Youth Crisis Center

LBN: Genesis Youth Crisis Center
Genesis Youth Crisis Center is an health care organization with primary practice located at 535 Horner Ave , Clarksburg WV 26301-3616. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Genesis Youth Crisis Center can be contacted via phone (304) 622-1907, or through Rudder, Matt via phone (304) 622-1907.

Contact Information

Primary practice address
535 Horner Ave Clarksburg WV 26301-3616
Phone: (304) 622-1907
Fax: (304) 623-9346
Website:
Map and Directions
Authorized official contact:
Name: Rudder, Matt
Phone: (304) 622-1907

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1821206715
LBN Legal business name Genesis Youth Crisis Center
DBA Doing business as
Authorized official Rudder, Matt
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821206715 NPPES
West Virginia MEDICAID 0158712001

Popular Providers