Organization
AGAPE RECOVERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN GRAMKE (DIRECTOR)
(262) 767-0441
Entity
Organization
Contact information
Practice address
201 N. PINE STREET, BURLINGTON, WI 53105-1918
(262) 767-0441
(262) 767-9072
Mailing address
201 N. PINE STREET, BURLINGTON, WI 53105-1918
(262) 767-0441
(262) 767-9072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1022
WI
Other
Enumeration date
04/23/2007
Last updated
03/29/2011
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