Organization
ACWORTH OUTPATIENT DETOX, LLC
Active
Organization
ACWORTH OUTPATIENT DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DENKER (MEMBER)
(229) 560-8634
Entity
Organization
Contact information
Practice address
6060 LAKE ACWORTH DR NW STE H, ACWORTH, GA 30101-7358
(229) 560-8634
Mailing address
6060 LAKE ACWORTH DR NW STE H, ACWORTH, GA 30101-7358
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
07/15/2021
Last updated
06/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up