Organization
THE ABUNDANCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SHEPHERD (OWNER)
(757) 292-8244
Entity
Organization
Contact information
Practice address
601 THORNE AVE, PORTSMOUTH, VA 23701-3557
(757) 673-6204
Mailing address
601 THORNE AVE, PORTSMOUTH, VA 23701-3557
(757) 673-6204
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1922
VA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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