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Organization

AGAPE COMMUNITY MENTAL HEALTH CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUELINE YADIRA PARDILLO M.S., LMHC (CLININCAL DIRECTOR)
(786) 275-4171
Entity
Organization

Contact information

Practice address
7975 NW 56TH ST, 2ND FLOOR, DORAL, FL 33166-4012
(786) 275-4171
(786) 275-4171
Mailing address
7975 N.W. 56 STREET, 2ND FLOOR, DORAL, FL 33166
(786) 275-4171
(786) 275-4171

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9761
FL

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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