Organization
ADAPTIVE FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTRIC MCCLENDON (OWNER)
(678) 820-1862
Entity
Organization
Contact information
Practice address
311 SEALE RD, PHENIX CITY, AL 36869-6917
(678) 820-1862
(866) 580-8556
Mailing address
4898 GA HIGHWAY 315 APT 401, FORTSON, GA 31808-4989
(678) 820-1862
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083033005
NPI
GA
01
—
1619320306
NPI
GA
Enumeration date
08/13/2020
Last updated
05/17/2024
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