Organization
AGAPE UNLIMITED
Active
Other names
Koinonia Inn
Organization subpart
No
Provider details
NPI number
Authorized official
ONDREA MCCOURRY (EXECUTIVE ASSISTANT)
(360) 373-1529
Entity
Organization
Contact information
Practice address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
(360) 373-4051
Mailing address
4841 AUTO CENTER WAY STE 101, BREMERTON, WA 98312-4388
(360) 373-1529
(360) 373-4051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18027300
WA
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067521
—
WA
05
—
1990365
—
WA
Enumeration date
04/09/2007
Last updated
06/25/2020
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