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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAIN STREET ADDICTION CENTER INC

Active Organization

MAIN STREET ADDICTION CENTER INC is a Addiction Medicine (Family Practice) organization located in LOGAN, West Virginia. NPI 1639616006 is currently active in the NPPES registry. Verify at CMS.

Addiction Medicine (Family Practice) · LOGAN, WV

Registration Details

NPI Number
1639616006
Provider Type
Organization
NPI Issued
Jan 24, 2017 (9.5464725673488 yrs)
Last Updated
Jan 24, 2017
License
1489 (WV)

Practice Information

Address
204 MAIN ST
LOGAN, WV, 256013944
Browse WV providers · Browse ZIP 25601
Phone
3047523400
Fax
3047523400
Primary Specialty
Addiction Medicine (Family Practice)
207QA0401X

Other Addiction Medicine (Family Practice) Organizations in LOGAN, WV

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.