Provider Demographics
NPI:1750637781
Name:ACHIEVEMENT CENTERS OF AMERICA LLC
Entity Type:Organization
Organization Name:ACHIEVEMENT CENTERS OF AMERICA LLC
Other - Org Name:ACHIEVE ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:HONNERT
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:513-448-0022
Mailing Address - Street 1:7723 TYLERS PLACE BLVD
Mailing Address - Street 2:SUITE 297
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4684
Mailing Address - Country:US
Mailing Address - Phone:513-448-0022
Mailing Address - Fax:
Practice Address - Street 1:7723 TYLERS PLACE BLVD
Practice Address - Street 2:SUITE 297
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4684
Practice Address - Country:US
Practice Address - Phone:513-448-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care