| Agape Recovery Center, Inc | |
|
201 N. Pine Street Burlington WI 53105-1918 | |
| (262) 767-0441 | |
| (262) 767-9072 |
| Full Name | Agape Recovery Center, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 201 N. Pine Street, Burlington, Wisconsin |
| Authorized Official Name and Position | Patricia Ann Gramke (DIRECTOR) |
| Authorized Official Contact | 2627670441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Recovery Center, Inc 201 N. Pine Street Burlington WI 53105-1918 Ph: (262) 767-0441 | Agape Recovery Center, Inc 201 N. Pine Street Burlington WI 53105-1918 Ph: (262) 767-0441 |
| NPI Number | 1962620013 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962620013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1022 (Wisconsin) | Primary |
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