Provider Demographics
NPI:1750074340
Name:ACWIS LLC
Entity type:Organization
Organization Name:ACWIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:CHARNESS
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-929-5653
Mailing Address - Street 1:315 E GREEN DR UNIT 71
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27261-0819
Mailing Address - Country:US
Mailing Address - Phone:336-929-5653
Mailing Address - Fax:
Practice Address - Street 1:315 E GREEN DR NUM 71
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27261-0819
Practice Address - Country:US
Practice Address - Phone:336-929-5653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health