| NPI | 1811688237 |
|---|---|
| Doing Business As | APPLEGATE RECOVERY INDIANAPOLIS |
| Entity Type | Organization |
| Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-07-29 |