Organization · NPI-2
Acorn Addiction Centers LLC Dba Journey Road Treatment Centers
Family Medicine, Addiction Medicine · Indianapolis, IN
NPI number1467824698
StatusActive
Last updated in NPPESJan 17, 2022
Details
- NPI
- 1467824698
- Entity type
- Organization (NPI-2)
- Legal business name
- Acorn Addiction Centers LLC Dba Journey Road Treatment Centers
- Organization subpart
- No
- Enumeration date
- Oct 27, 2015
- Certification date
- Jan 17, 2022
- Last updated
- Jan 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | – | – | Yes |
Other names
- Journey Road Treatment Centers (Doing Business As)
Practice location
1201 N Post Road Ste. 4Indianapolis, IN 46219-4225
Phone 317-405-8833 · Fax 317-672-2398
Mailing address
1201 N Post Road Ste. 4Indianapolis, IN 46219-4225
Phone 317-405-8833 · Fax 317-672-2398
Authorized official
Mari Anna Shepherd
Director
3174058833
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