Organization
LIFE OF ABUNDANCE BEHAVIORAL HEALTH SERVICES LLC
Active
Parent organization
LIFE OF ABUNDANCE PRP
Other names
Life of Abundance Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE OF ABUNDANCE PRP
Authorized official
MRS. JACQUELINE EJIM LCPC (CEO/CLINICAL DIRECTOR)
(443) 731-2349
Entity
Organization
Contact information
Practice address
6918 RIDGE RD, ROSEDALE, MD 21237-3854
(443) 731-2349
(443) 874-1347
Mailing address
6918 RIDGE ROAD, ROSEDALE, MD 21237
(443) 721-7574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
06/16/2021
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