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Potomac Highlands Mental Health Guild, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Petersburg, West Virginia
NPI 1992714398

Potomac Highlands Mental Health Guild, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Petersburg, WV. Potomac Highlands Mental Health Guild, Inc. practices in Petersburg, WV. The NPI Number for Potomac Highlands Mental Health Guild, Inc. is 1992714398 and holds a License No. 14000 (West Virginia).

The current practice location address for Potomac Highlands Mental Health Guild, Inc. is 6 Park St, Petersburg, WV and can be reached out via phone at 304-257-1155 and via fax at 304-257-1945.

Location: 6 Park St, Petersburg, WV, 26847-1765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992714398
Provider Name
Potomac Highlands Mental Health Guild, Inc.
Credential
Provider Entity Type
Organization
Address
6 Park St, Petersburg, WV, 26847-1765
Phone Number
304-257-1155
Fax Number
304-257-1945
Provider Enumeration Date
08/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005473000 05 WV
0005473001 05 WV
0005473002 05 WV
institution
Provider Business Practice Location Address Details
Address
6 Park St
City
Petersburg
State
West Virginia
Zip
26847-1765
Phone Number
304-257-1155
Fax Number
304-257-1945
person
Provider Business Mailing Address Details
Address
6 Park St
City
Petersburg
State
West Virginia
Zip
26847-1765
Phone Number
304-257-1155
Fax Number
304-257-1945
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
14000 (West Virginia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1036-8848 (West Virginia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
14000 (West Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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