Commission On Aging Family Services, Inc | |
111 Virginia Ave Petersburg WV 26847-1713 | |
(304) 257-1666 | |
(304) 257-9145 |
Full Name | Commission On Aging Family Services, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 111 Virginia Ave, Petersburg, West Virginia |
Authorized Official Name and Position | Darlene E Evans (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3042571666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Commission On Aging Family Services, Inc 111 Virginia Ave Petersburg WV 26847-1713 Ph: (304) 257-1666 | Commission On Aging Family Services, Inc 111 Virginia Ave Petersburg WV 26847-1713 Ph: (304) 257-1666 |
NPI Number | 1730529462 |
---|---|
Provider Enumeration Date | 06/26/2013 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730529462 | NPI | - | NPPES |
0030591000 | Medicaid | WV | |
3810022661 | Medicaid | WV | |
3810009687 | Medicaid | WV | |
0030591001 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10359713 (West Virginia) | Primary |
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Potomac Highlands Mental Health Guild, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 | |
Potomac Highlands Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1555 Fax: 304-257-1945 | |
Commission On Aging Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Virginia Ave, Petersburg, WV 26847 Phone: 304-257-1666 Fax: 304-257-9145 | |
Potomac Highlands Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 | |
Cristina L. Goldizen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Valley View St Ste 203, Petersburg, WV 26847 Phone: 304-257-4128 Fax: 304-257-4673 | |
Potomac Highlands Mental Health Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Potomac Highlands Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 |