Provider Demographics
NPI:1639938426
Name:ACADIA HEALTHCARE COMPREHENSIVE TREATMENT CENTER
Entity Type:Organization
Organization Name:ACADIA HEALTHCARE COMPREHENSIVE TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-971-6941
Mailing Address - Street 1:1728 DISCOVERY FALLS DR UNIT 312
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2030
Mailing Address - Country:US
Mailing Address - Phone:619-313-9172
Mailing Address - Fax:
Practice Address - Street 1:8898 CLAIREMONT MESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1147
Practice Address - Country:US
Practice Address - Phone:844-864-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACADIA HEALTHCARE COMPREHENSIVE TREATMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)