| NPI | 1003062936 |
|---|---|
| Former Legal Business Name | AGAPE COUNSELING SERVICE |
| Entity Type | Organization |
| Authorized Contact | ORENZA JOHN COTTON President 314-531-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2000164578) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 20001164578) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-09-30 |