Acworth Outpatient Treatment LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Acworth, GA
NPI 1871311522 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1871311522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- ACWORTH OUTPATIENT TREATMENT LLC
- Practice address
- 6060 Lake Acworth Dr NW Ste G
Acworth, GA 30101-7312 - Phone
- (470) 827-8340
- NPI assigned
- Oct 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Jonathan E Denker III
- Title
- Managing Member
- Phone
- (470) 827-8340
National Provider Directory
Locations
6060 Lake Acworth Dr NW
Ste G
Acworth, GA 30101
Phone (470) 827-8340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
6060 Lake Acworth Dr NW Ste G
Acworth, GA 30101-7312
Mailing address
6060 Lake Acworth Dr NW Ste G
Acworth, GA 30101-7312
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- Acworth Medical and Respite Care
- Acworth Outpatient Detox, LLC
- Acworth Pain Management Center Inc
- Acworth Pulmonary and Sleep LLC
- Acworth Smiles Dentistry, PC
- Acworth Spine & Disc, LLC.
- Acworth Treatment Center, LLC
All providers in Acworth, GA · Substance Use Disorder Rehabilitation Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. 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.