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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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