Organization
ABUNDANT LIFE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLIVE ARCHER LMSW (DIRECTOR)
(718) 735-7151
Entity
Organization
Contact information
Practice address
827 CLARKSON AVE., BROOKLYN, NY 11203
(718) 735-7151
(718) 735-7141
Mailing address
827 CLARKSON AVE., BROOKLYN, NY 11203
(718) 735-7151
(718) 735-7141
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
835095
NY
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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