Organization · NPI-2
Agape Mind Services
Clinic/Center, Adult Mental Health · Highland Village, TX
NPI number1679704787
StatusActive
Last updated in NPPESJun 19, 2015
Details
- NPI
- 1679704787
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Mind Services
- Organization subpart
- No
- Enumeration date
- Aug 6, 2009
- Last updated
- Jun 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | J1950 | TX | Yes |
Other names
- Center For Health And Healing At Highland Village (Doing Business As)
Practice location
2820 Village Pkwy Ste 620Highland Village, TX 75077-3298
Phone 972-317-7800 · Fax 972-317-3032
Mailing address
2820 Village Pkwy Ste 620Highland Village, TX 75077-3298
Phone 972-317-7800 · Fax 972-317-3032
Authorized official
Louis Edward Costello
President
9723177800
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