Organization
ABUNDANT HEALTH AND HUMAN SERVICES
Active
Parent organization
ABUNDANT HEALTH AND HUMAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ABUNDANT HEALTH AND HUMAN SERVICES
Authorized official
MRS. TONYA JOHNSON BACHELORS/QUALIFIED (EXECUTIVE DIRECTOR)
(252) 335-9400
Entity
Organization
Contact information
Practice address
401 S GRIFFIN ST, SUITE 175, ELIZABETH CITY, NC 27909
(252) 335-9400
(252) 335-9404
Mailing address
P.O. BOX 2751, ELIZABETH CITY, NC 27906-2751
(252) 335-9400
(252) 335-9404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
200001510
NC
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
MHL-070-051
NC
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/23/2007
Last updated
02/24/2011
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