A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
ID license #LCPC3672taxonomy 251S00000X
Identifiers
Type
Value
Notes
05 (ID)
806587200
05 (ID)
807220600
05 (ID)
806475800
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Abundant Wellness Center
Type code 3recorded 2007-01-08
Practice context
Multi-provider organization.
5 individual providers on file at this primary address.
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