NPI 1104436534

Agape Angels Resoultion Services, LLC

Organisation Adult Mental Health Clinic/Center Petersburg, VA

Practice location

Address: 1430 Farmer St, Petersburg, VA 23803-3941
Phone: (804) 919-0364
Mailing address: 2 Flower Cir, Petersburg, VA 23803-4613

Authorised official

Name: Patrice Nicole Shuford
Title: Resdient
Phone: (804) 919-0364

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

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Registry record

NPI: 1104436534
Entity type: Organization
NPI issued: 31 Jul 2020
Record last updated: 31 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.