Provider Demographics
NPI:1508226267
Name:ADAPT: A BEHAVIORAL COLLECTIVE, INC.
Entity Type:Organization
Organization Name:ADAPT: A BEHAVIORAL COLLECTIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:SANCHEZ
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:310-691-3644
Mailing Address - Street 1:139 HUGO ST
Mailing Address - Street 2:APT 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2738
Mailing Address - Country:US
Mailing Address - Phone:310-691-3644
Mailing Address - Fax:
Practice Address - Street 1:139 HUGO ST
Practice Address - Street 2:APT 3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2738
Practice Address - Country:US
Practice Address - Phone:310-691-3644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health