Main Street Addiction Center Inc
Main Street Addiction Center Inc is an Addiction Medicine (Family Medicine) Physician in Logan, West Virginia. Licensed in West Virginia. Registered with an NPI since 2017.
- Licensed in
- WV
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
204 Main StLogan, WV 25601-3944
Phone: (304) 752-3400
Fax: (304) 752-3400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence 1489 (WV) |
|---|
Record details
| NPI number | 1639616006 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Sells — Owner · (304) 752-3400 |
| NPI enumerated | January 24, 2017 |
| Last updated in NPPES | January 24, 2017 |
| Mailing address | 204 Main St, Logan, WV 25601-3944 |
Other providers in Logan
-
Emad Y Mousa, MD
77 Hospital Dr Ste 200, Logan, WV 25601-3451 · (304) 896-5200