Agape

NPI #1235522673 in Olivette, Missouri

Provider Information

NPI Number
1235522673
Entity Type
Organization
Organization Name
Agape
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 10, 2015
Last Updated
Mar 10, 2015

Practice Location

Address
9378 OLIVE BLVD
Address 2
SUITE 317
ZIP Code
63132-3215
Phone
(314) 994-9344

Authorized Official

Name
MR. DARRELL G PROVINSE
Title
PRESIDENT/EXECUTIVE DIRECTOR
Phone
(314) 994-9344

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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