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Organization
AGAPE REHABILITATION AND REINTEGRATION SERVICES LLC
Active
Organization
AGAPE REHABILITATION AND REINTEGRATION SERVICES LLC
Active
Other names
AGAPE SOBER LIVING HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMAU JOHN (MEMBER)
(480) 430-3992
Entity
Organization
Contact information
Practice address
8925 N 43RD AVE STE 5, PHOENIX, AZ 85051-3616
(480) 430-3992
Mailing address
5955 W PEORIA AVE APT 5054, GLENDALE, AZ 85302-1204
(480) 430-3992
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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