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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