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Organization

AGAPE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JEFFERY MASSEY (CEO)
(704) 225-0584
Entity
Organization

Contact information

Practice address
806 CIRCLE DR, MONROE, NC 28112-3800
(704) 225-0584
(800) 755-9281
Mailing address
PO BOX 3319, 806 CIRCLE DRIVE, MONROE, NC 28111-3319
(704) 225-0584
(800) 755-9281

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
310400000X
Assisted Living Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5916011
NC
05
6008247
NC
05
6603310
NC
05
6603506
NC
05
6603913
NC
05
6604025
NC
05
8301179
NC
05
8303172
NC
05
8303350
NC
05
8303351
NC
Enumeration date
07/07/2011
Last updated
03/22/2013
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