Organization
POTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
Active
Other names
Potomac Center Inc Birch Lane Group Home
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
WVDHHR213
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003198001
—
WV
Enumeration date
10/26/2006
Last updated
08/22/2020
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