Organization
AGAPE COMMUNITY INTEGRATED HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA FRAZIER (ADMINISTRATIVE ASSISTANT)
(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) 564-6486
(404) 564-6487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
06/07/2022
Last updated
05/08/2024
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