NPI 1104090562

New Abundant Living 3

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Eden, NC

Practice location

Address: 1014 West Ave, Eden, NC 27288-6430
Phone: (336) 623-7669
Mailing address: 438 Creekridge Dr, Eden, NC 27288-2817

Authorised official

Name: Janice Timpson
Title: Owner
Phone: (336) 623-7669

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in North Carolina →

Registry record

NPI: 1104090562
Entity type: Organization
NPI issued: 16 Apr 2008
Record last updated: 16 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.