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Organization

DON ACORN SUBSTANCE ABUSE AND MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DON ACORN LCSW LADC CCS (MANAGER)
(207) 578-1771
Entity
Organization

Contact information

Practice address
32 COLLEGE AVE, SUITE 206, WATERVILLE, ME 04901-6100
(207) 578-1771
Mailing address
PO BOX 72, 406 KIMBALL POND ROAD, VIENNA, ME 04360-0072
(207) 578-1771

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
CCS3211
ME
251S00000X
Community/Behavioral Health Agency
Primary
LC 7773
ME
251S00000X
Community/Behavioral Health Agency
LC2309
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11537926
CAQH
ME
Enumeration date
08/24/2010
Last updated
08/24/2010
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