Organization
ACWORTH TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE LEVINE (COO)
(561) 225-9503
Entity
Organization
Contact information
Practice address
6060 LAKE ACWORTH DR NW STE K, ACWORTH, GA 30101-7358
(561) 225-9503
Mailing address
6060 LAKE ACWORTH DR NW STE K, ACWORTH, GA 30101-7358
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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