Organization · Type 2 NPI

Agape Recovery House LLC

Substance Use Disorder Rehabilitation Clinic/Center · Woodstock, GA

NPI number 1053982827 Active

Practice location

2230 Towne Lake Pkwy Ste 200
Woodstock, GA 30189-5540

Call (404) 713-4280 Map

Mailing address

2230 Towne Lake Pkwy, Bldg 900 Ste 200
Woodstock, GA 30189-5546

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

Ali Taylor Delen, MS, LPCAddiction (Substance Use Disorder) Counselor Woodstock, GA NPI 1720613615
Emily Rowe, LCSWClinical Social Worker Woodstock, GA NPI 1265143408

NPI record

NPI: 1053982827
Entity type: Organization (Type 2)
Issued: Jul 2, 2021
Last updated: Aug 26, 2024
Status: Active

Other names

<unavail>
Inner Voyage Recovery Center · doing business as
Inner Voyage Recovery Center · doing business as

Authorized official

Jeff Bennett Baucom, CACI
Owner/operator
(404) 713-4280

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053982827

Agape Recovery House LLC's National Provider Identifier is 1053982827, issued on Jul 2, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Woodstock, GA. The record was last updated on Aug 26, 2024.