| NPI | 1205473725 |
|---|---|
| Doing Business As | APPLEGATE RECOVERY BRIDGEPORT |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2024-07-29 |