NPI | 1710412960 |
---|---|
Doing Business As | APPLEGATE RECOVERY OF BOSSIER CITY |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 00000) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2024-07-29 |