Organization · Type 2 NPI

Applegate Health Services, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Fort Wayne, IN

NPI number 1982370011 Active

Practice location

6017 Stoney Creek Dr
Fort Wayne, IN 46825-4410

Call (260) 267-5157 Map

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

Joshua Pranger, CADAC II, MATSAddiction (Substance Use Disorder) Counselor Fort Wayne, IN NPI 1023772167
Tiffany R. Witte, APRNFamily Nurse Practitioner Fort Wayne, IN NPI 1598435521

Other substance use disorder rehabilitation clinic/center providers in Fort Wayne

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NPI record

NPI: 1982370011
Entity type: Organization (Type 2)
Issued: Aug 18, 2021
Last updated: Jul 29, 2024
Status: Active

Other names

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Applegate Recovery Fort Wayne · doing business as
Applegate Recovery Fort Wayne · doing business as

Authorized official

Bruce Jarvie
VP, Treasurer
(214) 379-3300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982370011

Applegate Health Services, Inc.'s National Provider Identifier is 1982370011, issued on Aug 18, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 29, 2024.