NPI | 1154120541 |
---|---|
Former Legal Business Name | ADVANCED BEHAVIORAL CARE LLC |
Entity Type | Organization |
Authorized Contact | CRISTINA MARTINEZ Medical Director 602-615-0753 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |