Organization
ADVANCED ADULT PROVIDERS
Active
Other names
Advanced Adult Providers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRADFORD (DIRECTOR)
(719) 565-8829
Entity
Organization
Contact information
Practice address
6229 CUBBAGE DR, COLORADO SPRINGS, CO 80924-2091
(719) 565-8829
Mailing address
6229 CUBBAGE DR, COLORADO SPRINGS, CO 80924-2091
(719) 565-8829
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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