Organization
GHSD INC. (DBA) AGAPE GROUP HOMES
Active
Other names
AGAPE GROUP HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ROBERT REED JR. RESIDENTIAL TECH (ASSOCIATE PROFESSIONAL)
(910) 980-1085
Entity
Organization
Contact information
Practice address
716 GREEN PATH RD, GODWIN, NC 28344-8918
(910) 567-4340
(910) 980-1768
Mailing address
7279 SMITHFIELD RD, GODWIN, NC 28344-8315
(910) 980-1085
(910) 980-1768
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-052
NC
Other
Enumeration date
02/04/2007
Last updated
08/22/2020
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