| Team Agape Incorporated | |
|
885 Westminister Way Charleston WV 25314-2015 | |
| (304) 345-7700 | |
| (304) 345-1695 |
| Full Name | Team Agape Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 885 Westminister Way, Charleston, West Virginia |
| Authorized Official Name and Position | Lawrence Duane Bryson (PRESIDENT) |
| Authorized Official Contact | 3043410400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Agape Incorporated 885 Westminister Way Charleston WV 25314-2015 Ph: (304) 341-0400 | Team Agape Incorporated 885 Westminister Way Charleston WV 25314-2015 Ph: (304) 345-7700 |
| NPI Number | 1164699534 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164699534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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