Organization
BRADLY'S HOUSES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK GORDON (OWNER)
(970) 361-7808
Entity
Organization
Contact information
Practice address
540 MAIN ST STE 112, DELTA, CO 81416-1834
(970) 361-7808
Mailing address
540 MAIN ST STE 112, DELTA, CO 81416-1834
(970) 361-7808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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