Organization
POTOMAC VALLEY HOSPITAL OF W VA , INC
Active
Other names
Professional Group - Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
SUE A WELLS (SR DIR PROV SUPP SERVICES)
(304) 597-3525
Entity
Organization
Contact information
Practice address
514 NEW CREEK HWY STE 2, KEYSER, WV 26726-9526
(304) 597-3577
(304) 597-3548
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
(304) 597-3513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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