Organization
AGAPE HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA FIELDS (CHIEF EXECUTIVE OFFICER)
(202) 465-6655
Entity
Organization
Contact information
Practice address
613 CARLTON DR, HAMPTON, VA 23666-2915
(202) 465-6655
Mailing address
613 CARLTON DR, HAMPTON, VA 23666-2915
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
02/21/2024
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