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ABUNDANT LIFE TREATMENT CENTER
NPI 1467741058
Preferred Provider Organization in Tarboro, NC

Active since April 04, 2011
108 W HOPE LODGE ST, TARBORO, NC 27886(252) 774-4100(252) 774-4100 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abundant Life Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT LIFE TREATMENT CENTER (NPI 1467741058) is a healthcare organization registered as a preferred provider organization in Tarboro, North Carolina and active in the NPI registry since April 2011. The organization lists Gerenda Latrice Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467741058
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameABUNDANT LIFE TREATMENT CENTER
Location Address108 W HOPE LODGE STTarboro, NC 27886-2439
Mailing AddressPo Box 1427Tarboro, NC 27886-1427 · (252) 774-4100 · Fax (252) 774-4100
Phone(252) 774-4100
Fax(252) 774-4100
Organization SubpartNo
Authorized OfficialGerenda Latrice WilliamsCeo · (252) 883-1670
Enumeration DateApril 4, 2011
✔ NPI 1467741058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NC · 033097
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
108 W HOPE LODGE ST, Tarboro, NC 27886
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Life Treatment Center's NPI number?

The NPI number for Abundant Life Treatment Center is 1467741058. It was assigned to this organization in the NPPES registry on April 4, 2011.

Where is Abundant Life Treatment Center located?

Abundant Life Treatment Center is located at 108 W Hope Lodge St, Tarboro, NC 27886. The listed phone number is (252) 774-4100.

What is Abundant Life Treatment Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Abundant Life Treatment Center was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.