Organization
RE-ENTRY AND RECOVERY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE DUNCAN PHILLIPS (CEO)
(304) 556-6501
Entity
Organization
Contact information
Practice address
2045 9TH AVE, HUNTINGTON, WV 25703-1801
(304) 556-6501
(304) 551-0109
Mailing address
2045 9TH AVE, HUNTINGTON, WV 25703-1801
(304) 551-0109
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
2WV43M8DFJ
WV
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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