Organization
LIFEOLOGIE SAN DIEGO
Active
Parent organization
AGAPE COMMUNITY DEVELOPMENT CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGAPE COMMUNITY DEVELOPMENT CORP
Authorized official
HELEN HAYES MOSESS LCSW (CLINICAL DIRECTOR)
(619) 493-0541
Entity
Organization
Contact information
Practice address
3295 MEADE AVE, SAN DIEGO, CA 92116-4557
(619) 493-0541
Mailing address
3188 FRANKLIN AVE, SAN DIEGO, CA 92113-1429
(323) 229-2185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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