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Apple Grove Treatment Center

Foster Care Agency in Las Vegas, NV. Organization (NPI-2).

NPI number1689852279
StatusActive
Last updated in NPPESAug 9, 2011

Details

NPI
1689852279
Entity type
Organization (NPI-2)
Legal business name
Apple Grove Treatment Center
Organization subpart
No
Enumeration date
Feb 6, 2008
Last updated
Aug 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253J00000X Foster Care Agency––Yes
103K00000X Behavior Analyst––
251S00000X Community/Behavioral Health––
101YM0800X Counselor, Mental Health––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
106H00000X Marriage & Family Therapist––
1041C0700X Social Worker, Clinical––

Other names

  • Apple Grove Foster Care Agency (Doing Business As)

Practice location

8620 S Eastern Ave # 16
Las Vegas, NV 89123-2836

Phone 702-992-0576 · Fax 702-992-0391

Mailing address

8620 S Eastern Ave # 16
Las Vegas, NV 89123-2836

Phone 702-992-0576 · Fax 702-992-0391

Authorized official

Icia Sandulak
Director
7029920576

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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