Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1679043905 |
| LBN Legal business name | APPLEGATE HEALTH SERVICES, INC |
| Authorized official | BRUCE JARVIE - (VP, TREASURER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/29/2018 |
| Last updated | 07/29/2024 - More than a year ago |
| Identifiers | n/a |
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