Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Early Intervention Provider Agency |
252Y00000X |
| NPI Number | 1205871860 |
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| LBN Legal business name | ABIDING CHRISTIAN THERAPY, LLC | ||||
| Authorized official | PENNY LEZAK - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/18/2006 | ||||
| Last updated | 10/18/2021 - About 5 years ago | ||||
| Identifiers |
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