Organization
ABUNDANT LIFE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY A. MOSES (PRESIDENT)
(860) 548-9399
Entity
Organization
Contact information
Practice address
255 BARBOUR ST, HARTFORD, CT 06120-1705
(860) 548-9399
(860) 548-9819
Mailing address
PO BOX 714, HARTFORD, CT 06142-0714
(860) 548-9399
(860) 548-9819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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