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Contact Information

ABUNDANT LIFE TREATMENT CENTER
108 W HOPE LODGE ST
TARBORO, NC27886-2439
 Phone: 252-774-4100
 Fax: 252-774-4100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for ABUNDANT LIFE TREATMENT CENTER

NPI Number 1467741058
LBN Legal business name ABUNDANT LIFE TREATMENT CENTER
Authorized official GERENDA WILLIAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2011
Last updated 04/04/2011 - About 15 years ago
Identifiers
NC License # 033097
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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