| Agape Network, Inc. | |
|
17801 Nw 2nd Ave Ste 212 Miami Gardens FL 33169-5029 | |
| (305) 235-2616 | |
| (305) 235-6178 |
| Full Name | Agape Network, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 17801 Nw 2nd Ave Ste 212, Miami Gardens, Florida |
| Authorized Official Name and Position | Maria Gabriela Vargas (FINANCE DIRECTOR) |
| Authorized Official Contact | 3052352616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Network, Inc. 22790 Sw 112th Ave Miami FL 33170-7602 Ph: (305) 235-2616 | Agape Network, Inc. 17801 Nw 2nd Ave Ste 212 Miami Gardens FL 33169-5029 Ph: (305) 235-2616 |
| NPI Number | 1982201133 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982201133 | NPI | - | NPPES |
| 360010600 | Medicaid | FL | |
| 000199000 | Medicaid | FL | |
| 306725 | Other | FL | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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