Organization
PHOENIX TREATMENT CENTERS, LLC
Active
Organization
PHOENIX TREATMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER SISCO (OWNER)
(606) 653-1505
Entity
Organization
Contact information
Practice address
400 VENTERS LN STE 400, PIKEVILLE, KY 41501-3016
(606) 658-3078
Mailing address
PO BOX 1285, PIKEVILLE, KY 41502-1285
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
10/27/2023
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