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Organization

AGAPE COUNSELING CENTER AND NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORNELIA GIBSON ED.D. (EXECUTIVE DIRECTOR)
(707) 384-7303
Entity
Organization

Contact information

Practice address
1745 ENTERPRISE DR, BLDG 2, FAIRFIELD, CA 94533-5801
(707) 384-7303
(707) 247-4233
Mailing address
PO BOX 2433, FAIRFIELD, CA 94533-0243
(707) 384-7303
(707) 247-4233

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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