Abundant Life Center Mental Health Support Services

NPI 1184930463 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1184930463
Enumeration Date 08/25/2010
Last Updated 08/25/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANGELA ANGELA
Position MEMBER
Phone (804) 777-9422
Fax (804) 777-9664
Practice Location
4224 OLD HUNDRED RD
CHESTER VA, 23831-4425, US
Phone (804) 777-9422
Fax (804) 777-9664
Business Location
4224 OLD HUNDRED RD
CHESTER VA, 23831-4425, US
Phone (804) 777-9422
Fax (804) 777-9664
Toxanomy
Taxonomy Code 251S00000X
License State Virginia
License Number 895-03-001
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According to our database, Abundant Life Center Mental Health Support Services NPI is 1184930463, taxonomy code is 251S00000X and license number is 895-03-001, license state is located at Virginia. Abundant Life Center Mental Health Support Services physically located at 4224 Old Hundred Rd, Chester VA, 23831-4425. NPI Number 1033115704 has the healthcare provider type.

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1184930463 NPI number is provided on an as is basis without warranty of any kind. 1184930463 is maintained by the National Plan & Provider Enumeration System. The contents of Abundant Life Center Mental Health Support Services are for informational purposes only.