| Agape Substance Abuse Program | |
|
9001 Airport Blvd Suite 707 Houston TX 77061-3474 | |
| (713) 783-5437 | |
| Not Available |
| Full Name | Agape Substance Abuse Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9001 Airport Blvd, Houston, Texas |
| Authorized Official Name and Position | Helen Mignon Davis (CEO) |
| Authorized Official Contact | 7137835437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Substance Abuse Program Po Box 2175 Pearland TX 77588-2175 Ph: (713) 783-5437 | Agape Substance Abuse Program 9001 Airport Blvd Suite 707 Houston TX 77061-3474 Ph: (713) 783-5437 |
| NPI Number | 1003364910 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003364910 | NPI | - | NPPES |
| 13857527 | Other | TX | CAQH |
| 1841574654 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10003 (Texas) | Primary |
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