| Agape Remedy Llc | |
|
7710 Brooklyn Blvd Ste 209 Brooklyn Park MN 55443-2966 | |
| (612) 702-5339 | |
| Not Available |
| Full Name | Agape Remedy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7710 Brooklyn Blvd Ste 209, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Ngozi Rose Ezike- Fatorma (CEO/OWNER) |
| Authorized Official Contact | 6127025339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Remedy Llc 7710 Brooklyn Blvd Ste 209 Brooklyn Park MN 55443-2966 Ph: (612) 702-5339 | Agape Remedy Llc 7710 Brooklyn Blvd Ste 209 Brooklyn Park MN 55443-2966 Ph: (612) 702-5339 |
| NPI Number | 1699480996 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699480996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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