Abundant Life Therapeutic Services LLC
Abundant Life Therapeutic Services LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2013.
- Licensed in
- VA
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
645 Church St Ste 104CNorfolk, VA 23510
Phone: (757) 616-0657
Fax: (757) 533-9369
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 2154 (VA) |
|---|
Record details
| NPI number | 1285076067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melvin Anderson — Executive Director · (757) 616-0657 |
| NPI enumerated | July 22, 2013 |
| Last updated in NPPES | June 5, 2015 |
| Mailing address | 645 Church St, Suite 104c, Norfolk, VA 23510-1712 |
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