OrganizationActive
Main Street Addiction Center Inc
NPI 1639616006 · Addiction Medicine (Family Medicine) Physician · Logan, WV
Provider details
- NPI number
- 1639616006
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kenneth Sells, Owner
- License
- 1489 (WV)
Practice location
204 Main St
Logan, WV 25601-3944
Phone: (304) 752-3400
Fax: (304) 752-3400
Mailing address
204 Main St
Logan, WV 25601-3944
Registry dates
- Enumerated
- 2017-01-24
- Last updated
- 2017-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.