Phoenix Treatment Center Inc
Phoenix Treatment Center Inc is an Adolescent Medicine (Family Medicine) Physician in Nitro, West Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4114 1st AveNitro, WV 25143-1304
Phone: (304) 755-0119
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
| Adolescent Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0000X |
|---|
Record details
| NPI number | 1699440263 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mohammad Kalou — Owner · (304) 688-7027 |
| NPI enumerated | August 15, 2021 |
| Last updated in NPPES | August 15, 2021 |
| Certification date | August 15, 2021 |
| Mailing address | Po Box 11908, Charleston, WV 25339-1908 |