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
—
—
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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