Organization
POTOMAC HIGHLANDS MENTAL HEALTH GUILD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. S. CRAIG CURTIS (CEO)
(304) 257-1155
Entity
Organization
Contact information
Practice address
6 PARK ST, PETERSBURG, WV 26847-1765
(304) 257-1155
(304) 257-1945
Mailing address
6 PARK ST, PETERSBURG, WV 26847-1765
(304) 257-1155
(304) 257-1945
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
14000
WV
251S00000X
Community/Behavioral Health Agency
Primary
1036-8848
WV
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
14000
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005473000
—
WV
05
—
0005473001
—
WV
05
—
0005473002
—
WV
Enumeration date
08/05/2006
Last updated
03/31/2008
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