Organization
TEAM AGAPE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE DUANE BRYSON SR. (PRESIDENT)
(304) 341-0400
Entity
Organization
Contact information
Practice address
885 WESTMINISTER WAY, CHARLESTON, WV 25314-2015
(304) 345-7700
(304) 345-1695
Mailing address
885 WESTMINISTER WAY, CHARLESTON, WV 25314-2015
(304) 341-0400
(304) 341-0401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
02/27/2014
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