Agape Inc. | |
25 Middle St Portland ME 04101-4869 | |
(207) 773-3275 | |
Not Available |
Full Name | Agape Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 25 Middle St, Portland, Maine |
Authorized Official Name and Position | Kelley Barton Newkirk (COUNSELOR) |
Authorized Official Contact | 2072500400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Agape Inc. 25 Middle St Portland ME 04101-4869 Ph: (207) 773-3275 | Agape Inc. 25 Middle St Portland ME 04101-4869 Ph: (207) 773-3275 |
NPI Number | 1720699333 |
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Provider Enumeration Date | 08/17/2020 |
Last Update Date | 08/17/2020 |
Certification Date | 08/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720699333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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