| Agape Center For Troubled Youth | |
|
2013 Macarthur Dr Bldg 2 Alexandria LA 71301-3720 | |
| (318) 787-1114 | |
| (318) 487-6287 |
| Full Name | Agape Center For Troubled Youth |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2013 Macarthur Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | Barbara Ann Watson (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3187871114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Center For Troubled Youth 610 Webster St Pineville LA 71360-6948 Ph: (318) 787-1114 | Agape Center For Troubled Youth 2013 Macarthur Dr Bldg 2 Alexandria LA 71301-3720 Ph: (318) 787-1114 |
| NPI Number | 1174991186 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174991186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6319 (Louisiana) | Primary |
| 302F00000X | Exclusive Provider Organization | 6319 (Louisiana) | Secondary |
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