AGAPE ADVANCED INTEGRATIVE MEDICINE LLC NPI 1275073488

NPI Information

NPI: 1275073488
Provider Name: AGAPE ADVANCED INTEGRATIVE MEDICINE LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4837 N DIXIE HWY
OAKLAND PARK, FL
ZIP 33334
Phone: (561) 567-0626
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AGAPE ADVANCED INTEGRATIVE MEDICINE LLC is a substance abuse rehabilitation facility in Oakland Park, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AGAPE ADVANCED INTEGRATIVE MEDICINE LLC NPI is 1275073488. The provider is registered as an organization entity type.

The provider's business location address is:

4837 N DIXIE HWY
OAKLAND PARK, FL
ZIP 33334-928
Phone: (561) 567-0626
Fax: (561) 865-0174

The provider's authorized official is George J Mavrookas .
The authorized official title is Owner and has the following contact phone number (973) 687-0616.

The enumeration date for this NPI number is 3/7/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0618128360001	FLORIDA	No
2	324500000X	Substance Abuse Rehabilitation Facility		0601	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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