NPI | 1891590444 |
---|---|
Doing Business As | AGAPE HEALTH SERVICES - CAROLINA AVENUE |
Entity Type | Organization |
Authorized Contact | LAURENCE J DOBY Executive Director 252-644-7003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
Enumeration Date | 2025-02-18 |
Last Update Date | 2025-02-18 |