Provider Demographics
NPI:1528475639
Name:ABSOLUTE THERAPIES
Entity type:Organization
Organization Name:ABSOLUTE THERAPIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KRISTEN
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:407-230-4766
Mailing Address - Street 1:10304 KENNEBEC CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4801
Mailing Address - Country:US
Mailing Address - Phone:407-230-4766
Mailing Address - Fax:407-730-5419
Practice Address - Street 1:10304 KENNEBEC CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4801
Practice Address - Country:US
Practice Address - Phone:407-230-4766
Practice Address - Fax:407-730-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health