Organization
GENESIS YOUTH CRISIS CENTER, INC.
Active
Parent organization
GENESIS YOUTH CRISIS CENTER, INC.
Other names
Diagnostic at Laurel Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS YOUTH CRISIS CENTER, INC.
Authorized official
MR. SCOTT MAYER BA, LSW (CQI SPECIALIST)
(304) 622-1907
Entity
Organization
Contact information
Practice address
591 PRESSLEY RIDGE RD, CLARKSBURG, WV 26301-7024
(304) 709-7020
(681) 399-9115
Mailing address
192 SAFE HAVEN DR, CLARKSBURG, WV 26301-9103
(304) 622-1907
(304) 623-9346
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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