Agape Detox Center Llc

LBN: Agape Detox Center Llc
Agape Detox Center Llc is an health care organization with primary practice located at 750 E Prima Vista Blvd , Port Saint Lucie FL 34952-2259. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Agape Detox Center Llc can be contacted via phone (973) 687-0616, or through Mavrookas, Geroge J via phone (973) 687-0616.

Contact Information

Primary practice address
750 E Prima Vista Blvd Port Saint Lucie FL 34952-2259
Phone: (973) 687-0616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mavrookas, Geroge J
Phone: (973) 687-0616

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1619642188
LBN Legal business name Agape Detox Center Llc
DBA Doing business as
Authorized official Mavrookas, Geroge J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2021
Last updated Aug 16th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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