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
- State
- West Virginia
- 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 Medicine — Adolescent Medicine |
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