Organization
AGAPE DETOX CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J MAVROOKAS (MANAGER)
(754) 200-4373
Entity
Organization
Contact information
Practice address
750 E PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34952-2259
(855) 948-2936
Mailing address
1164 E OAKLAND PARK BLVD, STE 101, OAKLAND PARK, FL 33334-2709
(754) 200-4373
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
04/16/2025
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