| NPI | 1689852279 |
|---|---|
| Doing Business As | APPLE GROVE FOSTER CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | ICIA SANDULAK Director 702-992-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2011-08-09 |