OrganizationActive
Abundant Life Center
NPI 1174759963 · Clinical Social Worker · Hartford, CT
Provider details
- NPI number
- 1174759963
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Troy Moses, Ceo(860) 548-9399
- License
- 001806 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Agencies
Practice location
2550 Main St
Hartford, CT 06120-1936
Phone: (860) 548-9399
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 714
Hartford, CT 06142-0714
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2013-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.