Organization · Type 2 NPI

Abundant Living Group Home, Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Eden, NC

NPI number 1164616835 Active

Practice location

438 Creekridge Dr
Eden, NC 27288-2817

Call (336) 623-7669 Map

Fax (336) 623-1139

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XMHL-079-076 (NC)

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 1164616835

Abundant Living Group Home, Inc's National Provider Identifier is 1164616835, issued on Sep 5, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Eden, NC. The record was last updated on Sep 5, 2007.