Organization
AGAPE ESSENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENITA CROUCH MA (CEO)
(704) 298-2433
Entity
Organization
Contact information
Practice address
2141 BERTHA ST, KANNAPOLIS, NC 28083-3023
(704) 298-2433
(773) 337-9740
Mailing address
PO BOX 563304, CHARLOTTE, NC 28256-3304
(704) 298-2433
(704) 973-9134
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
03/09/2018
Last updated
05/09/2024
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