| Applegate Recovery Of Texas, Llc | |
|
619 Russell Blvd Nacogdoches TX 75965-1247 | |
| (936) 205-5650 | |
| Not Available |
| Full Name | Applegate Recovery Of Texas, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 619 Russell Blvd, Nacogdoches, Texas |
| Authorized Official Name and Position | Kathryn B Thomas (CLINICAL DIRECTOR/MANAGING MEMBER) |
| Authorized Official Contact | 3184690968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Applegate Recovery Of Texas, Llc 619 Russell Blvd Nacogdoches TX 75965-1247 Ph: (936) 205-5650 | Applegate Recovery Of Texas, Llc 619 Russell Blvd Nacogdoches TX 75965-1247 Ph: (936) 205-5650 |
| NPI Number | 1598052854 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598052854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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