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Organization
GENESIS YOUTH CRISIS CENTER, INC.
Active
Organization
GENESIS YOUTH CRISIS CENTER, INC.
Active
Other names
Ridgeline Children's Shelter
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MATTHEW RUDDER (CHIEF EXECUTIVE OFFICER)
(304) 622-1907
Entity
Organization
Contact information
Practice address
413 CHESTNUT STREET, PARSONS, WV 26287
(304) 709-7020
(304) 399-9115
Mailing address
PO BOX 546, CLARKSBURG, WV 26302
(304) 622-1907
(304) 623-9346
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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