| NPI | 1588905723 |
|---|---|
| Doing Business As | APPLEGATE RECOVERY WILLIAMSPORT |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA MD042726L) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: PA MD042726L) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD042726L) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: PA MD443569) | |
| 207Q00000X Family Medicine (Licence: MD042726L) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS014721) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD018954E) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD045007L) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD036563L) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: PA MD443569) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: PA MD039704E) | |
| 208M00000X Hospitalist (Licence: PA MD433062) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD042726L) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2024-07-29 |