Organization
RADICAL REHAB SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FREDERICK PHIFER PH.D. (EXECUTIVE DIRECTOR)
(304) 781-2510
Entity
Organization
Contact information
Practice address
314 9TH ST, HUNTINGTON, WV 25701-1436
(304) 781-2510
(304) 525-3311
Mailing address
PO BOX 6456, HUNTINGTON, WV 25772-6456
(304) 781-2510
(304) 525-3311
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03810
W V WORKER'S COMP
WV
05
—
1700045600
—
KY
Enumeration date
05/17/2007
Last updated
09/11/2025
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