Organization
ACADIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L GAMBLE (MANAGING MEMBER)
(301) 639-3822
Entity
Organization
Contact information
Practice address
387 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-9306
(301) 639-3822
Mailing address
387 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-9306
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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