NPI | 1609271659 |
---|---|
Doing Business As | AGAPE FAMILY SERVICES |
Entity Type | Organization |
Authorized Contact | WAYNE M MACKENZIE CEO 623-224-1162 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC2200X Psychologist, Clinical Child & Adolescent | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2014-11-01 |
Last Update Date | 2024-07-23 |