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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