Organization · Type 2 NPI

Abundant Life Therapeutic Services LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Norfolk, VA

NPI number 1285076067 Active

Practice location

645 Church St., Suite 104C
Norfolk, VA 23510

Call (757) 616-0657 Map

Fax (757) 533-9369

Mailing address

645 Church St, Suite 104C
Norfolk, VA 23510-1712

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	2154 (VA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1285076067

Abundant Life Therapeutic Services LLC's National Provider Identifier is 1285076067, issued on Jul 22, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 5, 2015.