Team Agape Incorporated | |
885 Westminister Way Charleston WV 25314-2015 | |
(304) 345-7700 | |
(304) 345-1695 |
Full Name | Team Agape Incorporated |
---|---|
Speciality | Community/behavioral Health |
Location | 885 Westminister Way, Charleston, West Virginia |
Authorized Official Name and Position | Lawrence Duane Bryson (PRESIDENT) |
Authorized Official Contact | 3043410400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Team Agape Incorporated 885 Westminister Way Charleston WV 25314-2015 Ph: (304) 341-0400 | Team Agape Incorporated 885 Westminister Way Charleston WV 25314-2015 Ph: (304) 345-7700 |
NPI Number | 1164699534 |
---|---|
Provider Enumeration Date | 05/14/2008 |
Last Update Date | 02/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164699534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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