Organization · NPI-2

Abc For Life, LLC

Counselor, Mental Health · Cary, NC

NPI number1093594665
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1093594665
Entity type
Organization (NPI-2)
Legal business name
Abc For Life, LLC
Organization subpart
No
Enumeration date
Sep 25, 2023
Certification date
Sep 24, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

1140 Kildaire Farm Rd Ste 108-2
Cary, NC 27511-4562

Phone 305-343-8730

Mailing address

411 Grande Heights Dr
Cary, NC 27513-3155

Phone 305-343-8730

Authorized official

Cesiah E Hernandez
Manager
3053438730

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