| Commission On Aging Family Services | |
|
111 Virginia Ave Petersburg WV 26847-1713 | |
| (304) 257-1666 | |
| (304) 257-9145 |
| Full Name | Commission On Aging Family Services |
|---|---|
| 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 111 Virginia Ave Petersburg WV 26847-1713 Ph: (304) 257-1666 | Commission On Aging Family Services 111 Virginia Ave Petersburg WV 26847-1713 Ph: (304) 257-1666 |
| NPI Number | 1235557018 |
|---|---|
| Provider Enumeration Date | 03/31/2014 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235557018 | NPI | - | NPPES |
| 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 | |
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 |