Provider Demographics
NPI:1851720395
Name:ABSOLUTE CONTROL TCC, INC
Entity Type:Organization
Organization Name:ABSOLUTE CONTROL TCC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OGANES
Authorized Official - Middle Name:
Authorized Official - Last Name:NARDOS
Authorized Official - Suffix:
Authorized Official - Credentials:CAADAC
Authorized Official - Phone:626-792-8797
Mailing Address - Street 1:10638 RHODESIA AVE
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2925
Mailing Address - Country:US
Mailing Address - Phone:818-660-8070
Mailing Address - Fax:
Practice Address - Street 1:10638 RHODESIA AVE
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2925
Practice Address - Country:US
Practice Address - Phone:818-660-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190462AP251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health