NPI | 1780114611 |
---|---|
Doing Business As | APPLEGATE RECOVERY EL DORADO |
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 | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-06-13 |
Last Update Date | 2024-07-29 |