NPI | 1467118307 |
---|---|
Doing Business As | APPLEGATE RECOVERY MARTINSBURG |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-11-15 |
Last Update Date | 2024-07-29 |