| NPI | 1790516920 |
|---|---|
| Other Name | ABUNDANT LIFE COMMUNITY SUPPORT SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | RACHEL LASSITER CEO 719-246-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 305R00000X Preferred Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-08-29 |