NPI | 1346775210 |
---|---|
Doing Business As | APPLEGATE RECOVERY OF LAKE CHARLES |
Entity Type | Organization |
Authorized Contact | BRUCE MICHAEL JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 00000) |
Additional Taxonomies | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-04-27 |
Last Update Date | 2025-01-31 |