| NPI | 1851913982 |
|---|---|
| Doing Business As | ABUNDANT LIFE SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | SHANIKA HARRIS Executive Director 757-575-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 225C00000X Rehabilitation Counselor | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |