Organization
APPLE GROVE TREATMENT CENTER
Active
Organization
APPLE GROVE TREATMENT CENTER
Active
Other names
apple grove foster care agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ICIA SANDULAK (DIRECTOR)
(702) 992-0576
Entity
Organization
Contact information
Practice address
8620 S EASTERN AVE # 16, LAS VEGAS, NV 89123-2836
(702) 992-0576
(702) 992-0391
Mailing address
8620 S EASTERN AVE # 16, LAS VEGAS, NV 89123-2836
(702) 992-0576
(702) 992-0391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
08/09/2011
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