Abundant Life Community Development Corporation
NPI #1568810430 in New Castle, Delaware
Provider Information
- NPI Number
- 1568810430
- Entity Type
- Organization
- Organization Name
- Abundant Life Community Development Corporation
- Primary Specialty
- Psychologist - Intellectual & Developmental Disabilities
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Dec 9, 2016
Practice Location
- Address
- 24 BLEVINS DR
- City
- New Castle
- State
- Delaware
- ZIP Code
- 19720-4152
- Phone
- (302) 983-6436
Authorized Official
- Name
- ELLIS FAGBAMI
- Title
- PRESIDENT
- Phone
- (302) 983-6436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Psychologist - Rehabilitation — Rehabilitation |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
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