Agape Community Mental Health Center, Inc.

Organization Active NPI Community/Behavioral Health Agency · Doral, FL

NPI 1285953356 · NPPES record last updated May 27, 2010

Key facts

NPI
1285953356
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
MH9761 (FL)
Legal business name
AGAPE COMMUNITY MENTAL HEALTH CENTER, INC.
Practice address
7975 NW 56TH St
2ND Floor
Doral, FL 33166-4012
Phone
(786) 275-4171
Fax
(786) 275-4171
NPI assigned
May 27, 2010
Organization subpart
No

Authorized official

Name
Ms. Jacqueline Yadira Pardillo, M.S., LMHC
Title
Clinincal Director
Phone
(786) 275-4171

National Provider Directory

Locations

7975 NW 56th St
Fl 2
Doral, FL 33166
Phone (786) 275-4171

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH9761 FL Yes

Addresses

Primary practice location

7975 NW 56TH St
2ND Floor
Doral, FL 33166-4012

Mailing address

7975 N.W. 56 Street
2ND Floor
Doral, FL 33166
Phone (786) 275-4171

Other providers in Doral, FL

All providers in Doral, FL · Community/Behavioral Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.