DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: APPLE GROVE TREATMENT CENTER

MEDICARE: APPLE GROVE TREATMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2253J00000XFoster Care AgencyNV
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1790063626
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPLE GROVE TREATMENT CENTER
Provider Business Mailing Address
First Line : 3155 E PATRICK LN
Second Line : STE 1
City : LAS VEGAS
State : NV
Zip : 89120-3481
Country : US
Telephone Number : 702-992-0576
Fax Number : 702-992-0391
Provider Business Practice Location Address
First Line : 3155 E PATRICK LN
Second Line : STE 1
City : LAS VEGAS
State : NV
Zip : 89120-3481
Country : US
Telephone Number : 702-992-0576
Fax Number : 702-992-0391
Authorized Official
Title or Position : DIRECTOR
Name : MRS. ICIA SANDULAK
Credential :
Telephone Number : 702-576-7942
Provider Enumeration Date : 07/26/2011
Last Update Date : 08/01/2024

Similar Medicare Providers

1477831238 — LESLIE LA COMBE
Practice Location Address:
3155 E PATRICK LN STE 1
LAS VEGAS, NV
89120-3481
Practice Phone: 702-992-0576
Practice Fax: 702-992-0391
1215228887 — A LIST FAMILY SERVICES LLC
Practice Location Address:
3481 E. SUNSET RD SUITE 100
LAS VEGAS, NV
89120
Practice Phone: 702-998-6264
Practice Fax:
1336436328 — ANGEL BUTTEL
Practice Location Address:
3155 E PATRICK LN STE 1
LAS VEGAS, NV
89120-3481
Practice Phone: 702-992-0576
Practice Fax:
1548549454 — JANETTE PAREDES
Practice Location Address:
3155 E PATRICK LN STE 1
LAS VEGAS, NV
89120-3481
Practice Phone: 702-992-0576
Practice Fax: 702-992-0391
1760762066 — NEW IMAGE MEDICAL NETWORK, L.L.C.
Practice Location Address:
3481 E SUNSET RD , SUITE 100-I
LAS VEGAS, NV
89120-3228
Practice Phone: 702-750-2770
Practice Fax: 702-750-2771
1619252574 — MICHELE THOMPSON
Practice Location Address:
3155 E PATRICK LN STE 1
LAS VEGAS, NV
89120-3481
Practice Phone: 702-992-0576
Practice Fax:

Directions to “APPLE GROVE TREATMENT CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.