Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1205512431 |
| LBN Legal business name | AGAPPE LIVING |
| Authorized official | ANGELIQUE MUHINGERWA - (EMPLOYEE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/22/2023 |
| Last updated | 06/22/2023 - About 3 years ago |
| Identifiers | n/a |
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