Acorn Hill Eaat, Inc.
Organization Active NPI Clinic/Center · Motley, MN
NPI 1821586959 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1821586959
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ACORN HILL EAAT, INC.
- Practice address
- 7969 65TH Ave SW
Motley, MN 56466-2238 - Phone
- (540) 454-1711
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Kelly Peterson, M.ED., TRI
- Title
- Founder/Executive Director
- Phone
- (540) 454-1711
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
7969 65TH Ave SW
Motley, MN 56466-2238
Mailing address
7969 65TH Ave SW
Motley, MN 56466-2238
Phone (540) 454-1711
Other providers in Motley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.