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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
MS. AISHA D. FRAZIER (ADMINISTRATIVE ASSISTANT)
(404) 564-6486
Entity
Organization
Contact information
Practice address
5536 OLD NATIONAL HWY, SUITE 100, ATLANTA, GA 30349
(404) 564-4796
(404) 564-6487
Mailing address
P.O. BOX 10938, ATLANTA, GA 30310
(404) 564-6486
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
060-435-D
GA
Other
Enumeration date
05/19/2017
Last updated
05/08/2024
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