Organization
POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
Active
Other names
Potomac Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PLOWRIGHT (EXECUTIVE DIRECTOR)
(304) 822-3861
Entity
Organization
Contact information
Practice address
ONE BLUE STREET, ROMNEY, WV 26757
(304) 822-3861
(304) 822-4297
Mailing address
ONE BLUE STREET, ROMNEY, WV 26757
(304) 822-3861
(304) 822-4297
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
WVDHHR214
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003198002
—
WV
Enumeration date
10/26/2006
Last updated
08/22/2020
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