NPI | 1982370011 |
---|---|
Doing Business As | APPLEGATE RECOVERY FORT WAYNE |
Entity Type | Organization |
Authorized Contact | BRUCE JARVIE VP, Treasurer 214-379-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-08-18 |
Last Update Date | 2024-07-29 |