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ABUNDANT FAITH MENTAL HEALTH SERVICES NPI 1700124336


NPI Information

NPI: 1700124336
Provider Name: ABUNDANT FAITH MENTAL HEALTH SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
4217 YOUNGSTOWN DR
GREENSBORO, NC
ZIP 27405
Phone: (910) 334-2212
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ABUNDANT FAITH MENTAL HEALTH SERVICES is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ABUNDANT FAITH MENTAL HEALTH SERVICES NPI is 1700124336. The provider is registered as an organization entity type.

The provider's business location address is:

4217 YOUNGSTOWN DR
GREENSBORO, NC
ZIP 27405-740
Phone: (910) 334-2212

The provider's authorized official is Brittany Yavun Baldwin .
The authorized official title is Owner and has the following contact phone number (910) 334-2212.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 4/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
2310500000XIntermediate Care Facility, Mental IllnessNo
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesNo
4320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5320700000XResidential Treatment Facility, Physical DisabilitiesNo
6323P00000XPsychiatric Residential Treatment FacilityNo
7322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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