NPI: 1982370011
Provider Name: APPLEGATE HEALTH SERVICES, INC.
Doing Business As: APPLEGATE RECOVERY FORT WAYNE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 15D2180935
Address:
6017 STONEY CREEK DR
FORT WAYNE, IN
ZIP 46825
Phone: (260) 267-5157
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APPLEGATE HEALTH SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Fort Wayne, IN. APPLEGATE HEALTH SERVICES, INC. NPI is 1982370011. The provider is registered as an organization entity type.
The provider Is Doing Business As Applegate Recovery Fort Wayne.
The provider's business location address is:
6017 STONEY CREEK DR
FORT WAYNE, IN
ZIP 46825-410
Phone: (260) 267-5157
The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.
The CLIA number assigned to this NPI record is 15D2180935 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/18/2021 and was last updated on 2/12/2024.