Organization
ABUNDANT LIFE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE CARTER (CEO)
(336) 682-2908
Entity
Organization
Contact information
Practice address
163 STRATFORD CT, SUITE 236, WINSTON SALEM, NC 27103-1836
(336) 682-2908
Mailing address
163 STRATFORD CT, BOX 26, WINSTON SALEM, NC 27103-1836
(336) 682-2908
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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