Provider Demographics
NPI:1013254754
Name:ADAPT PROGRAMS, LLC
Entity type:Organization
Organization Name:ADAPT PROGRAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:GARDZINA
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC/ SAP
Authorized Official - Phone:979-480-3327
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:979-480-3327
Mailing Address - Fax:281-377-5870
Practice Address - Street 1:1400 8TH ST
Practice Address - Street 2:SUITE 8-B
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-4962
Practice Address - Country:US
Practice Address - Phone:979-480-3327
Practice Address - Fax:281-377-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0405X, 261Q00000X
TX3592261QM1300X, 261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)