# ABUNDANT LIFE CENTER II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124191614
- **Authorized official:** MR. RODNEY MARK WILLIAMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 651-7972

## Contact information

- **Practice address:** 9831 KEVKEN DR, RICHMOND, VA 23237-4058
- **Practice address phone:** (804) 748-3368
- **Practice address fax:** (804) 748-3662
- **Mailing address:** 1313 PLEASANT CREEK CT, COLONIAL HEIGHTS, VA 23834-6841
- **Mailing address phone:** (804) 651-7972
- **Mailing address fax:** (804) 530-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 895-14-00 | VA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020