Provider Demographics
NPI:1801279567
Name:ACHIEVING BETTER CONTROK
Entity type:Organization
Organization Name:ACHIEVING BETTER CONTROK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-283-2833
Mailing Address - Street 1:PO BOX 4876
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-0417
Mailing Address - Country:US
Mailing Address - Phone:215-283-2833
Mailing Address - Fax:215-283-1919
Practice Address - Street 1:1100 E HECTOR ST
Practice Address - Street 2:SUITE 223
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2374
Practice Address - Country:US
Practice Address - Phone:215-283-2833
Practice Address - Fax:215-283-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001570000OtherBC/BS PROVIDER
PA1025814380001Medicaid
PA1025814380001Medicaid