Phoenix Treatment Centers Outpatient Division, LLC

NPI #1699551754 in Pikeville, Kentucky

Provider Information

NPI Number
1699551754
Entity Type
Organization
Organization Name
Phoenix Treatment Centers Outpatient Division, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PHOENIX TREATMENT CENTERS, LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Sep 5, 2023
Last Updated
Mar 23, 2024

Practice Location

Address
400 VENTERS LN STE 100
ZIP Code
41501-3016
Phone
(606) 653-1505

Authorized Official

Name
MRS. AMBER SISCO
Title
OWNER
Phone
(606) 367-3980

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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