Organization · NPI-2
Abc Therapy
Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children · Bullhead City, AZ
NPI number1285968024
StatusActive
Last updated in NPPESSep 28, 2009
Details
- NPI
- 1285968024
- Entity type
- Organization (NPI-2)
- Legal business name
- Abc Therapy
- Organization subpart
- No
- Enumeration date
- Sep 28, 2009
- Last updated
- Sep 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | 1697 | AZ | Yes |
Practice location
3003 Hiway 95 Ste N-104Bullhead City, AZ 86442-7860
Phone 928-763-0250 · Fax 928-763-0271
Mailing address
3003 Hiway 95 Ste N-104Bullhead City, AZ 86442-7860
Phone 928-763-0250 · Fax 928-763-0271
Authorized official
Laree A Jones
Business Office Administrator
9287634796
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.