Organization
ABUNDANT LIFE COMMUNITY OUTREACH, INC.
Active
Other names
ALCO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA A GUION BPSYC (EXECUTIVE DIRECTOR)
(910) 455-4572
Entity
Organization
Contact information
Practice address
1508 GUM BRANCH RD, JACKSONVILLE, NC 28540-5216
(910) 455-4572
Mailing address
1508 GUM BRANCH RD, JACKSONVILLE, NC 28540-5216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700368
—
NC
Enumeration date
09/24/2007
Last updated
09/24/2007
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