POTOMAC HIGHLANDS GUILD

PETERSBURG, WV
NPI1720273170
Entity TypeOrganization
Authorized ContactFREDERICK S. RAINES
Psychiatrist
304-257-1155
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: WV  14000)
Enumeration Date2007-09-10
Last Update Date2007-09-10
Business Address
POTOMAC HIGHLANDS GUILD
6 PARK ST
PETERSBURG, WV 26847-1765
Phone number: 304-257-1155
Mailing Address
POTOMAC HIGHLANDS GUILD
6 PARK ST
PETERSBURG, WV 26847-1765
Phone number: 304-257-1155
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