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Phoenix Treatment Center Inc
Adolescent Medicine (Family Medicine) Physician in Nitro, West Virginia
NPI 1699440263

Phoenix Treatment Center Inc is an Adolescent Medicine (Family Medicine) Physician based in Charleston, WV and is specialized in Adolescent Medicine. Phoenix Treatment Center Inc practices in Nitro, WV. The NPI Number for Phoenix Treatment Center Inc is 1699440263 and holds a License No. (West Virginia).

The current practice location address for Phoenix Treatment Center Inc is 4114 1St Ave, Nitro, WV and can be reached out via phone at 304-755-0119.

Location: 4114 1St Ave, Nitro, WV, 25339-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699440263
Provider Name
Phoenix Treatment Center Inc
Credential
Provider Entity Type
Organization
Address
4114 1St Ave, Nitro, WV, 25339-1908
Phone Number
304-755-0119
Fax Number
Provider Enumeration Date
08/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4114 1St Ave
City
Nitro
State
West Virginia
Zip
25143-1304
Phone Number
304-755-0119
Fax Number
person
Provider Business Mailing Address Details
Address
4114 1St Ave
City
Nitro
State
West Virginia
Zip
25143-1304
Phone Number
304-755-0119
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
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Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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