OrganizationActive
Abundant Life Center II, LLC
NPI 1124191614 · Emotionally Disturbed Childrens' Residential Treatment Facility · Richmond, VA
Provider details
- NPI number
- 1124191614
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rodney Williams, Executive Director(804) 651-7972
- License
- 895-14-00 (VA)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 895-14-00 (VA)
Residential Treatment Facilities
Practice location
9831 Kevken Dr
Richmond, VA 23237-4058
Phone: (804) 748-3368
Fax: (804) 748-3662
Approximate (ZIP-level) locationGet directions
Mailing address
1313 Pleasant Creek Ct
Colonial Heights, VA 23834-6841
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.