institution
Main Street Addiction Center Inc
Addiction Medicine (Family Medicine) Physician in Logan, West Virginia
NPI 1639616006

Main Street Addiction Center Inc is an Addiction Medicine (Family Medicine) Physician based in Logan, WV and is specialized in Addiction Medicine. Main Street Addiction Center Inc practices in Logan, WV. The NPI Number for Main Street Addiction Center Inc is 1639616006 and holds a License No. 1489 (West Virginia).

The current practice location address for Main Street Addiction Center Inc is 204 Main St, Logan, WV and can be reached out via phone at 304-752-3400 and via fax at 304-752-3400.

Location: 204 Main St, Logan, WV, 25601-3944
institution
Provider Profile Details
NPI Number
1639616006
Provider Name
Main Street Addiction Center Inc
Credential
Provider Entity Type
Organization
Address
204 Main St, Logan, WV, 25601-3944
Phone Number
304-752-3400
Fax Number
304-752-3400
Provider Enumeration Date
01/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 Main St
City
State
Zip
25601-3944
Phone Number
304-752-3400
Fax Number
304-752-3400
person
Provider Business Mailing Address Details
Address
204 Main St
City
State
Zip
25601-3944
Phone Number
304-752-3400
Fax Number
304-752-3400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
1489 (West Virginia)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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