Agape Behavioral Healthcare And Counseling, Llc . | |
3711 Executive Center Dr Martinez GA 30907-0951 | |
(912) 541-2801 | |
Not Available |
Full Name | Agape Behavioral Healthcare And Counseling, Llc . |
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Speciality | Community/behavioral Health |
Location | 3711 Executive Center Dr, Martinez, Georgia |
Authorized Official Name and Position | Benedicta E Ejindu (CEO, OWNER) |
Authorized Official Contact | 9125412801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape Behavioral Healthcare And Counseling, Llc . 3711 Executive Center Dr Martinez GA 30907-0951 Ph: (912) 541-2801 | Agape Behavioral Healthcare And Counseling, Llc . 3711 Executive Center Dr Martinez GA 30907-0951 Ph: (912) 541-2801 |
NPI Number | 1245854207 |
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Provider Enumeration Date | 06/04/2020 |
Last Update Date | 06/04/2020 |
Certification Date | 06/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245854207 | NPI | - | NPPES |
003194568A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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