Potomac Highlands Mental Health Guild, Inc.
LBN: Potomac Highlands Mental Health Guild, Inc.
Potomac Highlands Mental Health Guild, Inc. is an health care organization with primary practice located at 6 Park St , Petersburg WV 26847-1765. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Potomac Highlands Mental Health Guild, Inc. can be contacted via phone (304) 257-1155, or through Curtis, S. Craig via phone (304) 257-1155.
Contact Information
Primary practice address
6 Park St
Petersburg WV 26847-1765
Phone: (304) 257-1155
Fax: (304) 257-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 14000 | West Virginia |
| Agencies / Community/Behavioral Health | 251S00000X | 1036-8848 | West Virginia |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | 14000 | West Virginia |
Profile Details
| NPI number | 1992714398 |
|---|---|
| LBN Legal business name | Potomac Highlands Mental Health Guild, Inc. |
| DBA Doing business as | |
| Authorized official | Curtis, S. Craig |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 31st, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992714398 | NPPES |
| West Virginia | MEDICAID | 0005473000 | |
| West Virginia | MEDICAID | 0005473001 | |
| West Virginia | MEDICAID | 0005473002 |
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