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Organization

ACORN ADDICTION CENTERS LLC DBA JOURNEY ROAD TREATMENT CENTERS

Active
Other names
Journey Road Treatment Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MARI ANNA SHEPHERD (DIRECTOR)
(317) 405-8833
Entity
Organization

Contact information

Practice address
1201 N POST ROAD STE. 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
(317) 672-2398
Mailing address
1201 N POST ROAD STE. 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
(317) 672-2398

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300025348
IN
01
IN2829
PTAN
IN
Enumeration date
10/27/2015
Last updated
01/17/2022
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