# ACADIA PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811681125
- **Authorized official:** MRS. DEANA L JAROS (BCBA)
- **Authorized official phone:** (815) 260-7525

## Contact information

- **Practice address:** 1015 N CORPORATE CIR STE A, GRAYSLAKE, IL 60030-7813
- **Practice address phone:** (247) 165-0332
- **Mailing address:** 36880 N DEER TRAIL DR, LAKE VILLA, IL 60046-6731
- **Mailing address phone:** (815) 260-7525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023
