Agape Detox Center LLC
NPI #1619642188 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1619642188
- Entity Type
- Organization
- Organization Name
- Agape Detox Center LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Aug 16, 2021
- Last Updated
- Apr 16, 2025
Practice Location
- Address
- 750 E PRIMA VISTA BLVD
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34952-2259
- Phone
- (855) 948-2936
Authorized Official
- Name
- GEORGE J MAVROOKAS
- Title
- MANAGER
- Phone
- (754) 200-4373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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