Organization
ALTERNATIVE BEHAVIORAL CONCEPTS, INC.
Active
Organization
ALTERNATIVE BEHAVIORAL CONCEPTS, INC.
Active
Other names
ABC, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ALLAN JORDAN (VP)
(863) 206-7000
Entity
Organization
Contact information
Practice address
202 HOWARD ST, SUITE 3, AUBURNDALE, FL 33823-3431
(863) 551-3300
(863) 551-3301
Mailing address
PO BOX 1057, LAKE ALFRED, FL 33850-1057
(863) 551-3300
(863) 551-3301
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
677186696
FL
251S00000X
Community/Behavioral Health Agency
Primary
677186696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675822396
MEDWAIVER
FL
01
—
675822398
MEDWAIVER
FL
Enumeration date
01/14/2009
Last updated
12/02/2011
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