NPI 1619642188
Agape Detox Center LLC
Practice location
- Address
- 750 E Prima Vista Blvd, Port Saint Lucie, FL 34952-2259
- Phone
- (855) 948-2936
- Mailing address
- 1164 E Oakland Park Blvd STE 101, Oakland Park, FL 33334-2709
Authorised official
- Name
- George J Mavrookas
- Title
- Manager
- Phone
- (754) 200-4373
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1619642188
- Entity type
- Organization
- NPI issued
- 16 Aug 2021
- Record last updated
- 16 Apr 2025
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.