AGAPE LIFE PREVENTION CENTER NPI 1780316489

NPI Details

AGAPE LIFE PREVENTION CENTER is a community behavioral health in Riverdale, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AGAPE LIFE PREVENTION CENTER NPI is 1780316489. The provider is registered as an organization entity type.

The provider's business location address is:

6071 HIGHWAY 85 APT 31A
RIVERDALE, GA
ZIP 30274-531
Phone: (678) 437-7350

The provider's authorized official is Tiara Bracey .
The authorized official title is Prevention Specialist and has the following contact phone number (678) 437-7350.

The CLIA number assigned to this NPI record is 11D2157305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 6/30/2022.

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:

Other Identifiers

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