Agape Recovery Outreach

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AGAPE RECOVERY OUTREACH

Practice address

212 W Residence Ave
Albany, GA 31701-2317

Phone

(229) 446-1953

Fax

(229) 446-1983

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lawrence B Bryant Sr.

Title

Ceo/Program Director

Phone

(229) 446-1953

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1083881395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W RESIDENCE AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012317",
            "telephone_number": "229-446-1953",
            "fax_number": "229-446-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W RESIDENCE AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012317",
            "telephone_number": "229-446-1953",
            "fax_number": "229-446-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE RECOVERY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "229-446-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.