# ABUNDANT FAITH MENTAL HEALTH SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700124336
- **Authorized official:** MS. BRITTANY YAVUN BALDWIN (OWNER)
- **Authorized official phone:** (910) 334-2212

## Contact information

- **Practice address:** 4217 YOUNGSTOWN DR, GREENSBORO, NC 27405-9740
- **Practice address phone:** (910) 334-2212
- **Mailing address:** 4217 YOUNGSTOWN DR, GREENSBORO, NC 27405-9740
- **Mailing address phone:** (910) 334-2212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | — | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | — | — |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | — |

## Other

- **Enumeration date:** 01/16/2013
- **Last updated:** 04/24/2017