AGAPE DETOX CENTER LLC – NPI #1619642188
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AGAPE DETOX CENTER LLC is a substance abuse rehabilitation facility located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1619642188 to AGAPE DETOX CENTER LLC on August 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Apr 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGAPE DETOX CENTER LLC below.

NPI Profile for
AGAPE DETOX CENTER LLC

NPI Number
1619642188
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGAPE DETOX CENTER LLC
Primary location
750 E PRIMA VISTA BLVD
PORT SAINT LUCIE, FL 34952-2259
Phone: (855) 948-2936 Fax:
Mailing address
1164 E OAKLAND PARK BLVD
STE 101
OAKLAND PARK, FL 33334-2709
Phone: (754) 200-4373 Fax:
Organization Subpart
No
Authorized Official
GEORGE MAVROOKAS
MANAGER
Phone: (754) 200-4373
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.