OrganizationActive
Abundant Possibilities and Services, LLC
NPI 1295493336 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Swansea, IL
Provider details
- NPI number
- 1295493336
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leontrez Dickerson, President(618) 225-2896
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
208 Pine Dale Dr
Swansea, IL 62226-2336
Phone: (618) 225-2896
Approximate (ZIP-level) locationGet directions
Mailing address
208 Pine Dale Dr
Swansea, IL 62226-2336
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.