| Agape Psychiatric Services Llc | |
|
10913 131st Ave N Champlin MN 55316-1143 | |
| (610) 202-6770 | |
| Not Available |
| Full Name | Agape Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10913 131st Ave N, Champlin, Minnesota |
| Authorized Official Name and Position | Penninah Obwaya (CEO/NURSE PRACTITIONER) |
| Authorized Official Contact | 6102026770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Psychiatric Services Llc 10913 131st Ave N Champlin MN 55316-1143 Ph: (610) 202-6770 | Agape Psychiatric Services Llc 10913 131st Ave N Champlin MN 55316-1143 Ph: (610) 202-6770 |
| NPI Number | 1528863131 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528863131 | NPI | - | NPPES |
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