Organization
ABUNDANT LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARWARII L DRAKE (CEO)
(336) 495-0671
Entity
Organization
Contact information
Practice address
4720 US HIGHWAY 220 BUS N, B, ASHEBORO, NC 27203-3367
(336) 495-0671
(336) 495-3204
Mailing address
PO BOX 441, RANDLEMAN, NC 27317-0441
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
02/01/2012
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