Organization
ADAPT FOUNDATION INC
Active
Other names
Brazos Place
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GARDZINA LCDC (CLINICAL DIRECTOR)
(832) 892-2055
Entity
Organization
Contact information
Practice address
1103 N AVENUE H, FREEPORT, TX 77541-4006
(979) 233-3826
(979) 233-3708
Mailing address
PO BOX 474, ANGLETON, TX 77516-0474
(979) 233-3826
(281) 377-5870
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3994-3995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065443601
—
TX
Enumeration date
07/17/2009
Last updated
12/12/2016
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