Agape Recovery House LLC

NPI #1053982827 in Woodstock, Georgia

Provider Information

NPI Number
1053982827
Entity Type
Organization
Organization Name
Agape Recovery House LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jul 2, 2021
Last Updated
Aug 26, 2024

Practice Location

Address
2230 TOWNE LAKE PKWY STE 200
State
Georgia
ZIP Code
30189-5540
Phone
(404) 713-4280

Authorized Official

Name
JEFF BENNETT BAUCOM, CACI
Title
OWNER/OPERATOR
Phone
(404) 713-4280

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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