Abundant Life Center Ii, LLC

NPI #1124191614 in Richmond, Virginia

Provider Information

NPI Number: 1124191614
Entity Type: Organization
Organization Name: Abundant Life Center Ii, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9831 KEVKEN DR
City: Richmond
State: Virginia
ZIP Code: 23237-4058
Phone: (804) 748-3368

Authorized Official

Name: MR. RODNEY MARK WILLIAMS
Title: EXECUTIVE DIRECTOR
Phone: (804) 651-7972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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