NPI 1689852279 · live from the CMS NPI Registry
Apple Grove Treatment Center
Foster Care Agency in Las Vegas, NV. National Provider Identifier 1689852279, active.
NPI record
| NPI | 1689852279 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Foster Care Agency 253J00000X |
| Practice location | 8620 S Eastern Ave # 16, Las Vegas, NV 89123 |
| Practice phone | 702-992-0576 |
| Enumerated | February 6, 2008 |
| Last updated | August 9, 2011 |
| Authorized official | Icia Sandulak, Director |
| Other names | Apple Grove Foster Care Agency |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Foster Care Agency primary | 253J00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.