Agape Storge Healthcare Services, INC
Community/Behavioral Health in Philadelphia, PA. Organization (NPI-2).
NPI number1326484684
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1326484684
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Storge Healthcare Services, INC
- Organization subpart
- No
- Enumeration date
- May 14, 2013
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 142980 | PA | Yes |
Other names
- Serenity Safe Haven Outpatient Clinic (Doing Business As)
Practice location
8410 Bustleton Ave Ste 2Philadelphia, PA 19152-1924
Phone 267-291-4513 · Fax 215-701-5888
Mailing address
93 Old York RdSuite 1-526
Jenkintown, PA 19046-3925
Phone 267-808-8810
Other practice locations
5521 Chester Ave
Philadelphia, PA 19143-5334
Philadelphia, PA 19143-5334
Phone 267-291-4513 · Fax 215-701-5888
Authorized official
Tahira Dockery
Ceo
2672914513
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