Agape Counseling Center and Network

Organization Active NPI Community/Behavioral Health Agency · Fairfield, CA

NPI 1649657248 · NPPES record last updated May 4, 2015

Key facts

NPI
1649657248
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
AGAPE COUNSELING CENTER AND NETWORK
Practice address
1745 Enterprise Dr
BLDG 2
Fairfield, CA 94533-5801
Phone
(707) 384-7303
Fax
(707) 247-4233
NPI assigned
May 4, 2015
Organization subpart
No

Authorized official

Name
Dr. Cornelia Gibson, ED.D.
Title
Executive Director
Phone
(707) 384-7303

National Provider Directory

Locations

1745 Enterprise Dr
Bldg 2
Fairfield, CA 94533
Phone (707) 427-6640

Specialties & licenses

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

Addresses

Primary practice location

1745 Enterprise Dr
BLDG 2
Fairfield, CA 94533-5801

Mailing address

PO Box 2433
Fairfield, CA 94533-0243
Phone (707) 384-7303

Other providers in Fairfield, CA

All providers in Fairfield, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.