Provider Demographics
NPI:1477984300
Name:ACADIA ACQUISITION INC
Entity type:Organization
Organization Name:ACADIA ACQUISITION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:W
Authorized Official - Last Name:POPLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MRA, CRC, LPC
Authorized Official - Phone:717-394-3466
Mailing Address - Street 1:1817 OLDE HOMESTEAD LN STE 201
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6751
Mailing Address - Country:US
Mailing Address - Phone:717-394-3466
Mailing Address - Fax:717-394-1252
Practice Address - Street 1:1817 OLDE HOMESTEAD LN STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6751
Practice Address - Country:US
Practice Address - Phone:717-394-3466
Practice Address - Fax:717-394-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 273Y00000X
PA235Z00000X, 103G00000X, 225100000X, 225X00000X, 224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes273Y00000XHospital UnitsRehabilitation Unit
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty