Phoenix Treatment Center Inc

LBN: Phoenix Treatment Center Inc
Phoenix Treatment Center Inc is an health care organization with primary practice located at 4114 1St Ave , Nitro WV 25143-1304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Phoenix Treatment Center Inc can be contacted via phone (304) 755-0119, or through Kalou, Mohammad via phone (304) 688-7027.

Contact Information

Primary practice address
4114 1St Ave Nitro WV 25143-1304
Phone: (304) 755-0119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kalou, Mohammad Doctor of Medicine (MD)
Phone: (304) 688-7027

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X

Profile Details

NPI number 1699440263
LBN Legal business name Phoenix Treatment Center Inc
DBA Doing business as
Authorized official Kalou, Mohammad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2021
Last updated Aug 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers