| NPI | 1730722778 |
|---|---|
| Doing Business As | APPLE GROVE |
| Entity Type | Organization |
| Authorized Contact | ICIA SANDULAK Managing Member 702-576-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2024-07-24 |