Provider Demographics
NPI:1760980106
Name:ADVANCE COMPREHENSIVE THERAPEUTICS, INC.
Entity Type:Organization
Organization Name:ADVANCE COMPREHENSIVE THERAPEUTICS, INC.
Other - Org Name:ACT, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FEBRUARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-533-2341
Mailing Address - Street 1:3115 FALLSTON AVE
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3403
Mailing Address - Country:US
Mailing Address - Phone:240-533-2314
Mailing Address - Fax:
Practice Address - Street 1:3115 FALLSTON AVE
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3403
Practice Address - Country:US
Practice Address - Phone:240-533-2314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization