| Agape Healing House, Llc | |
|
2735 E Main St Ste 9 Mesa AZ 85213-9269 | |
| (480) 534-4000 | |
| Not Available |
| Full Name | Agape Healing House, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2735 E Main St Ste 9, Mesa, Arizona |
| Authorized Official Name and Position | Ardie Jenkins (CEO) |
| Authorized Official Contact | 7089327557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Healing House, Llc 2735 E Main St Ste 9 Mesa AZ 85213-9269 Ph: (480) 534-4000 | Agape Healing House, Llc 2735 E Main St Ste 9 Mesa AZ 85213-9269 Ph: (480) 534-4000 |
| NPI Number | 1962165506 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962165506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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