Organization
PARTNER WITH AGAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE NGWA (ADMINISTRATION)
(443) 525-2070
Entity
Organization
Contact information
Practice address
5805 COIT RD STE 402, PLANO, TX 75093-6990
(443) 525-2070
Mailing address
5805 COIT RD STE 402, PLANO, TX 75093-6990
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578195657
—
TX
Enumeration date
09/05/2020
Last updated
06/05/2022
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