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
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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