Phoenix Treatment Center INC

NPI #1699440263 in Nitro, West Virginia

Provider Information

NPI Number
1699440263
Entity Type
Organization
Organization Name
Phoenix Treatment Center INC
Primary Specialty
Family Medicine - Adolescent Medicine
Enumeration Date
Aug 15, 2021
Last Updated
Aug 15, 2021

Practice Location

Address
4114 1ST AVE
City
Nitro
ZIP Code
25143-1304
Phone
(304) 755-0119

Authorized Official

Name
MOHAMMAD KALOU, MD
Title
OWNER
Phone
(304) 688-7027

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adolescent MedicineAdolescent Medicine

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