OrganizationActive
Genesis Youth Crisis Center, Inc.
NPI 1255081675 · Adolescent and Children Mental Health Clinic/Center · Clarksburg, WV
Provider details
- NPI number
- 1255081675
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Genesis Youth Crisis Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Scott Mayer, Cqi Specialist(304) 622-1907
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
591 Pressley Ridge Rd
Clarksburg, WV 26301-7024
Phone: (304) 709-7020
Fax: (681) 399-9115
Approximate (ZIP-level) locationGet directions
Mailing address
192 Safe Haven Dr
Clarksburg, WV 26301-9103
Other names (DBA / former)
- Doing business as
- Diagnostic at Laurel Park
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2022-03-28
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.