Provider Demographics
NPI:1609506823
Name:A.B.C. DEVELOPMENT CENTER LLC
Entity Type:Organization
Organization Name:A.B.C. DEVELOPMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIA ELIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MGR
Authorized Official - Phone:786-246-4831
Mailing Address - Street 1:1900 SANS SOUCI BLVD APT 405
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3040
Mailing Address - Country:US
Mailing Address - Phone:786-246-4831
Mailing Address - Fax:
Practice Address - Street 1:1900 SANS SOUCI BLVD APT 405
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3040
Practice Address - Country:US
Practice Address - Phone:786-246-4831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-11
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health