Organization
EDEN OF ABUNDANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRIKA LATHAN CPSS, CHW, NFP (EXECUTIVE DIRECTOR)
(828) 288-7228
Entity
Organization
Contact information
Practice address
125 W 2ND ST, RUTHERFORDTON, NC 28139-2448
(828) 829-7171
(855) 870-7181
Mailing address
133 COURTLAND ST, SPINDALE, NC 28160-4036
(828) 288-7228
(855) 870-7181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/21/2022
Last updated
11/29/2022
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