Organization
AGAPE HEALING HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDIE JENKINS III (CEO)
(708) 932-7557
Entity
Organization
Contact information
Practice address
2735 E MAIN ST STE 9, MESA, AZ 85213-9269
(480) 534-4000
Mailing address
2735 E MAIN ST STE 9, MESA, AZ 85213-9269
(480) 534-4000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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