Provider Demographics
NPI:1386772903
Name:AFFORDABLE BEHAVIORAL CONSULTANTS, INC
Entity type:Organization
Organization Name:AFFORDABLE BEHAVIORAL CONSULTANTS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:301-386-7722
Mailing Address - Street 1:1400 MERCANTILE LN
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5341
Mailing Address - Country:US
Mailing Address - Phone:301-386-7722
Mailing Address - Fax:301-386-7789
Practice Address - Street 1:1400 MERCANTILE LN
Practice Address - Street 2:SUITE 206
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5341
Practice Address - Country:US
Practice Address - Phone:301-386-7722
Practice Address - Fax:301-386-7789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037010700Medicaid