Organization · Type 2 NPI

Abundant Life Center Ii, LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA

NPI number 1124191614 Active

Practice location

9831 Kevken Dr
Richmond, VA 23237-4058

Fax (804) 748-3662

Mailing address

1313 Pleasant Creek Ct
Colonial Heights, VA 23834-6841

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X895-14-00 (VA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1124191614

Abundant Life Center Ii, LLC's National Provider Identifier is 1124191614, issued on Nov 15, 2006. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Richmond, VA. The record was last updated on Aug 22, 2020.