| NPI | 1164603239 |
|---|---|
| Doing Business As | ABC THERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | JULIO C LANDERO President 702-598-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ BH2377) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV DUI24586) |
| 1041C0700X Social Worker, Clinical (Licence: AZ BH2377) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ BH2377) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-03-11 |