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Organization
APPLE GROVE TREATMENT CENTER
Active
Organization
APPLE GROVE TREATMENT CENTER
Active
Other names
APPLE GROVE FOSTER AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ICIA SANDULAK (DIRECTOR)
(702) 576-7942
Entity
Organization
Contact information
Practice address
3155 E PATRICK LN, STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
(702) 992-0391
Mailing address
3155 E PATRICK LN, STE 1, LAS VEGAS, NV 89120-3481
(702) 992-0576
(702) 992-0391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
253J00000X
Foster Care Agency
—
NV
Other
Enumeration date
07/26/2011
Last updated
08/01/2024
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