Agape Learning Center
Clinic/Center in Durham, NC. Organization (NPI-2).
NPI number1063792885
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1063792885
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Learning Center
- Organization subpart
- No
- Enumeration date
- Aug 24, 2011
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
514 N Mangum StDurham, NC 27701-2414
Phone 919-937-8733
Mailing address
Po Box 72884Durham, NC 27722-2884
Phone 919-937-8733
Authorized official
Holli Cleafonya Wilkins
Director/Superintendent
9199378733
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