Organization
AGAPE REMEDY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGOZI ROSE EZIKE- FATORMA (CEO/OWNER)
(612) 702-5339
Entity
Organization
Contact information
Practice address
7710 BROOKLYN BLVD STE 209, BROOKLYN PARK, MN 55443-2966
(612) 702-5339
Mailing address
7710 BROOKLYN BLVD STE 209, BROOKLYN PARK, MN 55443-2966
(612) 702-5339
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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