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Organization
AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC.
Active
Organization
AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN ANANABA (CEO)
(404) 564-6486
Entity
Organization
Contact information
Practice address
5536 OLD NATIONAL HWY STE 100, COLLEGE PARK, GA 30349-5181
(404) 564-4796
(404) 564-6487
Mailing address
5536 OLD NATIONAL HWY STE 100, COLLEGE PARK, GA 30349-5181
(404) 564-4796
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QC1500X
Community Health Clinic/Center
—
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
261QM0850X
Adult Mental Health Clinic/Center
—
GA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
060-435-D
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
GA
Other
Enumeration date
08/14/2012
Last updated
08/20/2024
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