Organization · Type 2 NPI
Phoenix Treatment Center Inc
Adolescent Medicine (Family Medicine) Physician · Nitro, WV
NPI number
1699440263
Active
Practice location
4114 1st Ave
Nitro, WV 25143-1304
Mailing address
PO Box 11908
Charleston, WV 25339-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | None listed |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
4 other providers at this address
About NPI 1699440263
Phoenix Treatment Center Inc's National Provider Identifier is 1699440263, issued on Aug 15, 2021. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Nitro, WV. The record was last updated on Aug 15, 2021.