NPI 1346429495

Apple Grove Treatment Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Henderson, NV

Practice location

Address: 2060 Waverly Cir, Henderson, NV 89014-4593
Phone: (702) 369-0396
Mailing address: 368 Placer Creek Ln, Henderson, NV 89014-4557

Authorised official

Name: Icia Reid Sandulak
Title: Director
Phone: (702) 369-0396

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1346429495
Entity type: Organization
NPI issued: 25 Oct 2007
Record last updated: 25 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.