Abundant Faith Mental Health Services
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Greensboro, NC
NPI 1700124336 · NPPES record last updated Apr 24, 2017
Key facts
- NPI
- 1700124336
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- ABUNDANT FAITH MENTAL HEALTH SERVICES
- Practice address
- 4217 Youngstown Dr
Greensboro, NC 27405-9740 - Phone
- (910) 334-2212
- NPI assigned
- Jan 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Brittany Yavun Baldwin
- Title
- Owner
- Phone
- (910) 334-2212
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Mental Illness Intermediate Care Facility | 310500000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes | ||
| Psychiatric Residential Treatment Facility | 323P00000X |
Addresses
Primary practice location
4217 Youngstown Dr
Greensboro, NC 27405-9740
Mailing address
4217 Youngstown Dr
Greensboro, NC 27405-9740
Phone (910) 334-2212
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.