Organization
AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODWIN ANANABA (CEO)
(404) 564-6486
Entity
Organization
Contact information
Practice address
5536 OLD NATIONAL HWY STE 100, COLLEGE PARK, GA 30349-5181
(404) 564-4796
(404) 564-6487
Mailing address
5536 OLD NATIONAL HWY STE 100, COLLEGE PARK, GA 30349-5181
(404) 564-4796
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QC1500X
Community Health Clinic/Center
—
GA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
261QM0850X
Adult Mental Health Clinic/Center
—
GA
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
060-435-D
GA
320800000X
Mental Illness Community Based Residential Treatment Facility
—
GA
Other
Enumeration date
08/14/2012
Last updated
08/20/2024
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