Organization
ACWORTH OUTPATIENT TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN E DENKER III (MANAGING MEMBER)
(470) 827-8340
Entity
Organization
Contact information
Practice address
6060 LAKE ACWORTH DR NW STE G, ACWORTH, GA 30101-7312
(470) 827-8340
Mailing address
6060 LAKE ACWORTH DR NW STE G, ACWORTH, GA 30101-7312
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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