OrganizationActive
Phoenix Treatment Center Inc
NPI 1699440263 · Adolescent Medicine (Family Medicine) Physician · Nitro, WV
Provider details
- NPI number
- 1699440263
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mohammad Kalou, Owner
Mailing address
Po Box 11908
Charleston, WV 25339-1908
Registry dates
- Enumerated
- 2021-08-15
- Last updated
- 2021-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.