| Abundant Life Family Center | |
|
255 Barbour St Hartford CT 06120-1705 | |
| (860) 548-9399 | |
| (860) 548-9819 |
| Full Name | Abundant Life Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 Barbour St, Hartford, Connecticut |
| Authorized Official Name and Position | Troy A. Moses (PRESIDENT) |
| Authorized Official Contact | 8605489399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Family Center Po Box 714 Hartford CT 06142-0714 Ph: (860) 548-9399 | Abundant Life Family Center 255 Barbour St Hartford CT 06120-1705 Ph: (860) 548-9399 |
| NPI Number | 1497076038 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497076038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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