NPI 1124191614

Abundant Life Center II, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Richmond, VA

Practice location

Address: 9831 Kevken Dr, Richmond, VA 23237-4058
Phone: (804) 748-3368
Fax: (804) 748-3662
Mailing address: 1313 Pleasant Creek CT, Colonial Heights, VA 23834-6841

Authorised official

Name: Rodney Mark Williams
Title: Executive Director
Phone: (804) 651-7972

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 895-14-00 (VA)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Virginia →

Registry record

NPI: 1124191614
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 22 Aug 2020

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.