Provider Demographics
NPI:1356003529
Name:ACADIA HEALTHCARE
Entity Type:Organization
Organization Name:ACADIA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISPENSING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUEHN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:320-583-2943
Mailing Address - Street 1:5983 S REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5261
Mailing Address - Country:US
Mailing Address - Phone:800-129-3999
Mailing Address - Fax:
Practice Address - Street 1:5983 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5261
Practice Address - Country:US
Practice Address - Phone:801-293-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care