Provider Demographics
NPI:1134503147
Name:ADAPT PROGRAMS, LLC
Entity Type:Organization
Organization Name:ADAPT PROGRAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDZINA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO/CLINICAL DIRECTO
Authorized Official - Phone:832-457-3540
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77516-0474
Mailing Address - Country:US
Mailing Address - Phone:832-621-7581
Mailing Address - Fax:281-377-5870
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:STE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:832-457-3540
Practice Address - Fax:281-377-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3351-3850261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder