Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
163WA0400X | |||
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1174381453 |
| LBN Legal business name | THE ACORN CENTER, LLC |
| Authorized official | HEATHYR MASEWIC - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/11/2024 |
| Last updated | 04/03/2024 - About 2 years ago |
| Identifiers | n/a |
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