| NPI | 1790063626 |
|---|---|
| Doing Business As | APPLE GROVE FOSTER AGENCY |
| Entity Type | Organization |
| Authorized Contact | ICIA SANDULAK Director 702-576-7942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2024-08-01 |